San Fernando Valley Employer Advisory Council
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San Fernando Valley EAC New Member Application

Annual membership dues are $50.00 (and do not include a badge). Badges are available at a cost of $10.00 each.
Any membership paid after Oct 1st. will include membership for the following year.
Two people from each member company may attend the Mini Seminars at a cost of $25. Additional member attendees cost is $10.00
Non-member attendees may attend for $50.00.
No refunds, substitutions welcome.

San Fernando Valley EAC
New Member Application
* required fields
Date: March 11, 2010
* Company Name:
* Contact Person:
* Contact Person Title:
* Address:
* City:
* Zip Code:
* Type of Business:
* Telephone:
Fax:
* Number of Employees:
* Email:
* Years in Business:
* Type of Entity:
* How you heard about the EAC:
* Are you interested in assisting the
board members with various events?
Name on Badge #1:
Company Name on Badge #1:
Name Badge #2:
Company Name on Badge #2:
Membership $50: Quantity
Badges ($10 each): Quantity
Total: $