Memberships

membership

The goals of the Instituto de Cultura Hispanica are to preserve, promote and share the language, history and culture of the Hispanic American Community while building friendships based on a knowledge, understanding and appreciation of the different cultures.

To become a member, fill out the form below and a representative will get back to you as soon as possible.

Applicant Information:

* First Name:		Employer:
* Last Name:		Work Phone:
* Address:		Work Fax:
* City:		Cell:
* State:		* Date of Birth:
* Zip:		Birth City:
* Home Phone:		Birth State:
* Email:		Birth Country:

Spouse Information:

Same as the Applicants
First Name:		Employer:
Last Name:		Work Phone:
Address:		Work Fax:
City:		Cell:
State:		Date of Birth:
Zip:		Birth City:
Home Phone:		Birth State:
Email:		Birth Country:

Names of children and/or dependants living with you:

Name:		Age:
Name:		Age:
Name:		Age:
Name:		Age:

Recommended for Membership by:

* Member Name:
* Member Name:

I am interested in serving on the following committees:

	Bylaws		Community Relations
	Christmas Decorations		Cultural
	Development/Fundraising		Educational
	Finance		Golf Tournament/Fundraising
	Grant Writing		Historian
	International Dinner/Fundraising		Library
	Member Services		Museum Displays
	Museum Volunteer		October Gala/Fundraising
	Publications		Special Events
	Spring Dance/Fundraising		Style Show
	Telephone Committee		Traditional Cultural Celebrations/Posadas

My skills include (bookeeping, computer literacy, education):

1.		2.
3.		4.
5.		6.

I understand that my membership becomes effective:

	upon approval by the Board of Directors, and
	upon payment of dues. Dues are valid through the end of the year.

Dues:	Yearly:
Single Membership Only	$50
Household Membership	$100
Contributing Member	$125
Supporting Member	$250
Patron	$1000
If you're a new member appying, please do not pay dues until you are approved by the board. If you're a renewing member, thank you for your prompt renewal. We look forward to your active participation.

Suggestions for the Institute:

Please type any suggestions below:
Application Type:	New Member Renew Membership