Membership Enrollment Application

Victor Valley African American Chamber of Commerce (VVAACC)

Membership Application

"Fulfilling your Ambitions"
2010
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Title
First Name
Last Name
Organization/Business
Mailing Address
City
Zip Code
Contact Number
Alternate Number
E-Mail Address
Tell us a little about yourself, or your organization.
Member
Board Member
Sponsor
Youth/Student Membership
Additional Comments

Check "all" boxes that apply for membership & interests.
___________________________________________________

Membership Information:

Student Membership

Non-Business Membersip

Civic Organization (501c-) Org.

Business Membership (up to 49 Employees)

Corporate Membership (50 or More Employees)

Individual Life Membership

Scholarship Fund (Minimum)

Donations (Any Amount)

Please complete and submit this on-line form, a VVAACC Representative will contact you.

Our Location
14240 St. Andrews Drive, Suite 101

Victorville, CA 92395

Mailing Address

P.O. Box 1925, Victorville, California 92393

760-955-1440* Fax 760-955-1440

Note: e-mail vvaacc@vvaacc.com articles for the website. Business members please submitt your business information.