EmailMe Form - FCHCC Renewal Membership Application

Complete the renewal application below. Required fields are marked with a red () asterisk.
Note: you do not have to be of Hispanic ancestry to volunteer for our committees.*

Contact Name: *

First Last

Company Name (if applicable):

If applicable, what date did your business start?
FCHCC would love to celebrate your business anniversary with it "shout-out" on our Social Media Outlets!

MM / DD / YYYY

If applicable, what type of products or services does your organization offers?

Does your Company have a logo? If so, you can upload it to have the chamber help promote your business. NOTE: this service only applies to Non-Profit 1 up to Strategic Partner membership levels.

Acceptable file formats: .jpg, .jpeg, or .png only.

Address: *

Street Address City State / Province / Region Postal / Zip Code

Business Phone: *

### - ### - ####

Cell Phone: *

### - ### - ####

Do we have your permission to text you alerts?, (ex.. event reminders or special announcements) Note: We will not share your cell phone number nor overuse it. *

Yes

No

Contact Email Address: *

Retype your Email Address:

Alternate Email Address:

Principal/CEO or Owner's Birthdate
(select Month): *

Principal/CEO or Owner's Birthdate
(select the Day): *

Website Address:

Have you ever served in the Armed Forces? *

Yes

No

Is this a certified minority and/or disadvantaged-owned business? *

Minority-owned

Women-owned

Both Minority and Women-owned

Does not Apply

If applicable, what organization provided your business certification?

Yearly Revenue of your Organization (if you are renewing your membership as a company):

up to $500K

$500K - $1M

greater than $1M

Select the industry for your Organization (if you are renewing your membership as a company):

If your organization is in a different industry, please specify (if you are renewing your membership as a company):

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Are you on Facebook, Twitter, Instagram and/or LinkedIn? (Please include your username for the social networks you use.)

Facebook:

Instagram:

Twitter:

LinkedIn:

Membership Levels and Fees

Please select the desired membership level below, the form will calculate your 15% OFF Discount at the bottom. Click here to view all member benefits.

Strategic Partner - $10,000
Leadership Trustee - $5,000
Large Corporation #2 (1,000+ employees) - $2,500
Large Corporation #1 (100 - 1,000 employees) - $1,500
Small Business #2 (50 - 100 employees) - $500
Small Business #1 (49 or less employees) - $300
Non-profit #3 Organization 501 (c)3 (76+ employees) - $800
Non-profit #2 Organization 501 (c)3 (26 - 75 employees) - $400
Non-profit #1 Organization 501 (c)3 (25 or less employees) - $200
Individual Member (not representing a company) - $150
Student Member - $25

Select your membership level: *

IMPORTANT NOTE ABOUT THE INDIVIDUAL MEMBERSHIP LEVEL: If you are renewing your FCHCC membership as an individual member, this level does not come with the benefits of a corporate member (ex., opportunity to be a guest on FCHCC Al Aire radio show, business information listed in the Members directory).

For more information about member benefits, please visit fchcc.com/member-benefits.
*

I Acknowledge that I have read and understand the information above about my renewing my membership as an Individual Member.

Not Applicable; I am not renewing my FCHCC membership as an Individual Member.

If you're renewing as a student, what university or educational institution are you enrolled in?

Method of Payment: *

Credit Card Online

Check or Money Order

If paying by check or money order, make them payable to:
First Coast Hispanic Chamber of Commerce
P.O. Box 57972
Jacksonville, FL 32241

Agreement:
I agree that upon acceptance to the Association, I will abide by its by-laws and any amendments adopted during my membership and will promote its Mission Statement. *

Yes, I agree.

If paying by credit card, you will be redirected to our payment system after you submit this application. Thank you for your continued support of FCHCC.

Complete the renewal application below. Required fields are marked with a red (*) asterisk. Note: you do not have to be of Hispanic ancestry to volunteer for our committees.

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Membership Levels and Fees

If paying by credit card, you will be redirected to our payment system after you submit this application. Thank you for your continued support of FCHCC.

Complete the renewal application below. Required fields are marked with a red () asterisk.
Note: you do not have to be of Hispanic ancestry to volunteer for our committees.*