RHBA Membership Application Form

If you are already an RHBA member, follow this link to renew your membership online.

Membership Level*
- Basic $40.00
- Enhanced $75.00
- Corporate $150.00
The Basic Level gives you a directory listing

The Enhanced Level gives you a directory listing plus:
* Your logo is displayed in the directory with a link to your website

The Corporate Level includes the benefits of the Enhanced membership level, plus:
* Company employees can participate in the Association events as members
* Company will have one vote on Association matters

Read more benefits
Member General Information
Your Name*
First Last
Company Name*
Job Title*
Number of Employees*
Industry Sector*
Describe your products or services
Contact Information
For administrative use, so we can contact you on behalf of the association
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone Number*
Fax Number
Directory Listing
This is the information to be displayed in the RHBA members directory
Use the contact information above for the directory?*
- Yes
- No
Directory Address
Street Address Address Line 2 City State ZIP Code
Email
Phone Number
Fax Number
Website URL
Upload your logo
Accepted file types: jpg, gif, png, Max. file size: 2 MB.
If the size of your logo is larger than 2 MB, please email it as an attachment to hola@RochesterHBA.org.
Payment Method*
- I will pay with credit card
- Bill me
- I will send a check by mail
Payment Information
Billing Address*
Street Address Address Line 2 City State ZIP Code
Just making sure you are human

If you prefer to register via regular mail, click here to download a PDF version of this application. Please print, fill in and mail the form along with your check payable to “RHBA”, to:

Rochester Hispanic Business Association
PO Box 25567
Rochester, NY 14625

** All membership applications require approval from the RHBA Board of Directors and confirmation of payment before activation **

Note: If you are already an RHBA member, follow this link to renew your membership online.

If you have any questions about the RHBA membership, please email us at hola@RochesterHBA.org.

RHBA Membership Application Form

Member General Information

Contact Information

Directory Listing

Payment Information

Contact RHBA

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