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Sponsors:

San Bernardino County Jobs and Employment

Services Department

 

Guaranty Bank

 

 

Name: (required)
Bus. Phone: Fax:
Business Name:
Business Address:

(Street. P.O. Box, Zip Code)


Email Address: (required)
Home Address (for internal records only)
Do you own your business? YES NO
Number of Employees: full time part-time temporary


TYPE OF BUSINESS: (please check below)

Accounting
Finance
Recreation
Advertising
Insurance
Retail
Agriculture
Trade/Imp./Exp
Restaurant/Bar
Architect/Design
Legal
Service specify)

Auto Related
Lodging
Computers
Manufacturing
Transportation
Construction
Medical
Wholesale/Supply
Electrical
Printing/Copying
OTHER:
Electronics
Real Estate/Prop, Mgmt

COMMITTEE INTEREST: (please check all that apply)

Banking
Legal Counsel/review
Transportation
Communications
Membership
OTHER:
Dues Committee
Newsletter
Education/Training
Regional Development
Finance
Speaker's Bureau
Fundraiser/special events

DEMOGRAPHICS: (for statistical profile only)

Age:
under 25
25-34
35-44
45-54
55/over
Sex: male   female
Education Level:
No. of Years in Pima County
In Business or in your profession

FULL MEMBERSHIP -- $95.00
AFFILIATE MEMBERSHIP -- $50.00
Corporate Membership -- $300.00
Associate/ Non Profit Member -- $50.00

Mail Checks To:  Inland Empire African American Chamber of Commerce, PO Box 56237, Riverside CA 92517  TAX ID 33-0567114

 

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To contact us:

Phone: 909-888-5223

Fax: 909-888-4383

Email: ieaacoc@yahoo.com

Inland Empire African American Chamber of Commerce
Copyright © 2001 IEAACOC. All rights reserved.
Revised: April 08, 2001