$150 Corporate Membership (3 members)

1. TYPE OF MEMBERSHIP(*)
   New MembershipRenewal MembershipGift MembershipPlease choose a type of membership.
2. Data Corporation
3. Organization Name(*)
   Please type the Organization Name.
4. Address(*)
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5. Suite/Apt
6. City(*)
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7. State(*)
   Please SelectAB AlbertaAK AlaskaAL AlabamaAR ArkansasAZ ArizonaBC British ColumbiaCA CaliforniaCO ColoradoCT ConnecticutDC D.C.DE DelawareFL FloridaGA GeorgiaHI HawaiiIA IowaID IdahoIL IllinoisIN IndianaKS KansasKY KentuckyLA LouisianaMA MassachusettsMB ManitobaMD MarylandME MaineMI MichiganMN MinnesotaMO MissouriMS MississippiMT MontanaNC North CarolinaND North DakotaNE NebraskaNH New HampshireNJ New JerseyNM New MexicoNV NevadaNY New YorkOH OhioOK OklahomaON OntarioOR OregonPA PennsylvaniaRI Rhode IslandSC South CarolinaSD South DakotaSK SaskatchewanTN TennesseeTX TexasUT UtahVA VirginiaVT VermontWA WashingtonWI WisconsinWV West Virginia Please select the State.
8. Zip Code(*)
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9. Member 1 Details
10. Name(*)
    Please type the name of the first member.
11. Last Name(*)
    Please type the last name of the first member
12. Phone Number(*)
    Please type the phone number of the first member (only numbers)
13. E-mail(*)
    Invalid email address.
14. Member 2 Details
15. Name(*)
    Please type the name of the second member.
16. Last Name(*)
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17. Phone Number(*)
    Please type the phone number of the second member (only numbers)
18. E-mail(*)
    Invalid email address.
19. Member 3 Details
20. Name(*)
    Please type the name of the third member.
21. Last Name(*)
    Please type the last name of the third member
22. Phone Number(*)
    Please type the phone number of the third member (only numbers)
23. E-mail(*)
    Invalid email address.
24. If a new member, how did you hear about LWI?
    Please SelectInternetFamily · FriendEventNewspaperOtherPlease tell us how did you hear about LWI?
25. Your individual (only $50 a year), corporate or lifetime membership support helps us meet the ever-growing need for enhancing the educational, cultural and developmental opportunities available for struggling families and their children in the Latin community.
    
26. TOTAL
    0.00 USD
28. Each member of Latin Women's Initiative has the right to enjoy a variety of events throughout the year including educational seminars, couples events, women's shopping, family get-togethers, children's clinics and much more.
    Each member has the responsibility to support our organization through volunteer hours or monetary donations to the agencies that support the Latin community.