Membership Enrollment Application

Victor Valley African American Chamber of Commerce (V. V. A. A. C. C)

Membership Application

"2008 A Celebration of History"
___________________________________________________

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 (Minium)

Donations (Any Amount)

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

Our Location

14368 St. Andrews Drive, Suite D

Victorville, California 92395
Mailing Address: P.O. Box 1925, Victorville, California 92393

760-952-9152 * Fax 760-952-7567

Webmaster: Fairman & Associates

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