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Membership Application Form

Please complete and submit the request form below and a membership representative will respond to you. If you need immediate assistance, please contact the Chamber at  316-265-6334.  Or if you would prefer, you can download the membership application by clicking here and fax it to our office at 316-264-9965.

If you are an existing member and if you've received your renewal notice but haven't returned it yet...What are you waiting for?

When you receive our reminder, please take a few minutes to renew...so that your membership and all the benefits that come with it continue uninterrupted.

 
1. Member Information Primary Contact
 
Membership Status *
 
Full Name *
 
Title *
 
Company Name *
 
Web Address *
 
Street Address *
 
City *
State
 
Zip *
 
Phone *
 
Fax *
   
Business Email *
 
Services Offered *
Is your company Hispanic owned and operated?
Is your company women owned and operated?
2. Investment Amount
 
Number of Employees *
Membership Category
3. Payment Method
Payment Method


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Corporate Partner 4th Representative
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Wichita Hispanic Chamber of Commerce, Inc.
1150 N. Broadway, Suite 700
Wichita, Kansas 67214
Phone-316-265-6334
Fax-316-462-5599

Wichita Hispanic Chamber of Commerce, Inc.
1150 N. Broadway, Suite 700
Wichita, Kansas 67214
Phone-316-265-6334
Fax-316-462-5599

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