LA OC Latin Professionals

MEMBERSHIP APPLICATION

Mission: To assist & support all small businesses by forming a strong organization that empowers each & every business as well as the communities around them through a united standard of Ethics, Honesty, Integrity, Hard Work, & Self Worth.

Company Name *

Member name and title

Address

Street Address

City

State

Postal Code

Checkbox

Check here if home-based and do not want address listed in our web or printed material, directory.

Email *

Phone *

IG handle

(By including cell number and email address, applicant consents to receiving communication from

LA OC Latin Professionals)

Number of Employees/Owners:

Full Time

Part Time

Specific Business Category (for directory listings)

Member who invited you to our group

Membership fee $150.00 a year.

Annual/ Renewal fee is $150.00.

Breakfast is paid by each member/guest at the time of the meeting directly to restaurant.

Missed meetings without sub $15.00 fee.

Please review LA/OC Latin Professionals Policies & Procedures for full explanation of fees and

membership requirements. LA OC reserves the right to cancel membership at any time.

By signing below, I certify that my business holds all required licenses.

My Signature.

Clear

Date.

LA OC Latin Professionals

MEMBERSHIP APPLICATION

Description of your Business

I am interested in learning about the following businesses

The best referral business partner(s) for me/my business is

Please let us know how we can meet your expectations for your Network membership

Note: This agreement is a 12-month basis membership agreement. After 12 months, the

membership can be cancelled at any time with a 30-day written notice. LA OC Latin

Professionals reserves the right to terminate membership at any time. No refunds.

You will be a member of LA OC Latin Professionals under ONE business name/profession only.