Business Member Subscription

$120.00 / month and a $180.00 sign-up fee

Business membership including lunches at both meetings auto-renews monthly for $120 after initial $300 payment.

Business Member Application

Business Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Member(Required)

First Middle Initial Last

Gender

Nickname

Phone(Required)

Date of Birth

Email(Required)

Spouse Name & Date of Birth

Position Title

Wedding Anniversary Date

Alternate Member

First Middle Initial Last

Gender

Nickname

Phone

Date of Birth

Email

Spouse Name & Date of Birth

Position Title

Wedding Anniversary Date

All Exchange members participate in all annual events and activities. Please note which committee/s to which you would like to be assigned:

Fundraising Events:

Culver City Car Show (May)

Culver City Fireworks Show (July)

Fiesta La Ballona Beer & Wine Garden (August)

Tribute to Heroes / Field of Valor (November)

Other Opportunities Through the Year

Committees:

Marketing & Branding

Membership Outreach & Retention

Fundraising

Website & Technology

Communications & Publicity

Would you like to share anything about yourself and your company that you feel would be an asset to our organization and our mission?

Sponsor

Name & Phone

Sponsor's Club

Type Your Name - In Lieu of Signature(Required)

Date Signed(Required)

Business Member Application

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