San Fernando Valley EAC Member Renewal Application

Membership is based on a calendar year. The $50.00 year membership charge does not include a badge......(badges are available at $10.00 each).
Any membership paid after Oct 1st. will include membership for the following year.
Non-member attendees may attend for $50.00.
No refunds, substitutions welcome.

San Fernando Valley EAC
Member Renewal Application

* required fields

Date:

September 03, 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 on Badge #2:

Company Name on Badge #2:

Membership $50:	Quantity
Badges ($10 each):	Quantity
Total: $

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San Fernando Valley Employer Advisory Council
P.O. Box 7641, Porter Ranch, CA 91327 : Phone: (818) 596-4481 : Email:
© 2010 San Fernando Valley Employer Advisory Council

The contents of this website are for informational purposes only and are not intended to provide legal advice.
For specific advice on legal or human resource questions, viewers are advised to seek legal counsel.

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