Membership Application

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Membership Application

Type of Membership*
- New
- Renewal
Purpose of Membership?*
- Personal
- Business
- Both
Name*
FirstLast
Spouse's Name
Address*
Street AddressCity

StateZip Code
Phone*
Fax
Email*
Business/ Company Name*
Title/ Position*
Business Address*
Street AddressCity

StateZip Code
Business Phone*
Business Fax
Business Email*
Membership Level*
- Individual
- Family
- Sponsor
- Benefactor
Individual Membership

Membership Amount: $50.00

Students Sponsored 1
Family Membership

Membership Amount: $100.00

Students Sponsored 2
Sponsor Membership

Membership Amount: $500.00

Students Sponsored 10

Members to Designate 2
Benefactor Membership

Membership Amount: $1,000.00

Students Sponsored 20

Members to Designate 3
Designee 1
FirstLast
Phone
Designee 2
FirstLast
Phone
Designee 3
FirstLast
Phone
Email

This field is for validation purposes and should be left unchanged.

Individual Membership
Membership Amount:	$50.00
Students Sponsored	1

Family Membership
Membership Amount:	$100.00
Students Sponsored	2

Sponsor Membership
Membership Amount:	$500.00
Students Sponsored	10
Members to Designate	2

Benefactor Membership
Membership Amount:	$1,000.00
Students Sponsored	20
Members to Designate	3

Testimonial

For 22 years, [Houston Hispanic Forum’s] Career and Education Day has been an opportunity for Hispanic Leaders in the Houston area to excite students about the possibilities of different professions.

U. S. President, George W. Bush

I applaud the Houston Hispanic Forum and all who helped make Career and Education Day possible. Career and Education Day is creating a more informed and better prepared populace by providing information about careers, colleges and financial aid to students and parents

Governor of Texas, Rick Perry

Organizations such as the Houston Hispanic Forum are stellar examples of community support for high achievement. I commend the leaders who are participating in this Career and Education Day for taking the time to say to young people in the Hispanic Community that we know you can succeed in challenging courses in school and in challenging professions; we have high goals for you, and we will support you in achieving them.

U.S. Secretary of Education, Rod Paige

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Membership Application

Executive Director

Testimonial