Join

Membership Application

Company
Address
City
State
Telephone
FAX
E-mail

Nature of Business/Practice, please be specific:

Number of employees:
Local
National
International

Geographic area served this office:

COMPANY REPRESENTATIVES Each applicant fill out their specific information, and briefly address the following question.
Name	Title	Business Practice	Direct Telephone

What changes would you like to see in Los Angeles and what role would you or firm play?

REFERRED BY LAHQ MEMBER (OR OTHER):

COMMITTEES Each representative, please indicate area of Interest.
	Economic Dvpt/ Environmental	Newsletter
	Education	Program
	Government Relations	Special Events
	Business Network	Membership
	Technology

MEMBERSHIPS DUES $650 annually for a company with up to three representatives. Additional representatives may join at an additional $50 per person. After submitting this Membership Application, please enclosed check, made payable to LAHq to the address below. Thank you.

Los Angeles Headquarters Association
P.O. Box 86325 - Los Angeles, California 90086
Tel. (323) 663-5242 - Fax. (323) 663-5171
E-mail. LAHq4U@aol.com

Programmed and designed by Akalia Design, LLC.

The contents of these pages are Copyright � 1998-1999 Los Angeles Headquarters Association & Akalia Design, LLC. and the owner(s) of the product(s) and/or service(s) advertised on this page and may not be used, copied, transferred, or reproduced in part or in whole. This extends to text, photographs, logos, images and all other portions of this page. All Rights Reserved. These pages designed and maintained by Akalia Design, LLC. If you have any questions, contact our Web Master, please click on the following logo