LEON Membership Application
Our Mission: To collaborate as a network of individuals and organizations to empower and enrich the Latino community in the areas of health, education, advocacy, and communication.
Renewal Name
New Member Date
Title Organization Address City
State
Phone
Fax
Email I give LEON permission to use my name and/or organization name and respective image in print, video or other communication to be used in LEON-related materials (web site, marketing material, etc.) for educational purposes only, while serving as a member of LEON. X Your Name Refer a friend to LEON! Name Yes
Yes
I am interested in serving in a leadership position in LEON. Please contact me about future leadership opportunities. I am interested in making a donation to LEON. Please contact me about future donor or sponsorship opportunities.
Select a membership level. Membership benefits are listed on the next page. Student $15.00 Individual $30.00 Representative Name Representative Email Non-Profit $100.00 Representative Name Representative Email Small Business $100.00 Representative 1 Name Make checks payable to Latino Empowerment Outreach Network, PO Box 16215, Columbus, OH 43216
LEON Membership Application
Our Mission: To collaborate as a network of individuals and organizations to empower and enrich the Latino community in the areas of health, education, advocacy, and communication.
Corporate
$250.00
Representative Representative 1 2 Email Name Representative 2 Email Representative 1 Name Representative 1 Email Representative 2 Name Representative 2 Email
Member Benefits Student
Individual
NonProfit
Small Business
Corporate
Participate in Networking Meetings Participate in Committees Access to the members-only section on LEON website Subscription to electronic newsletters Name or business logo listed on LEON website Job posting privileges View job announcements Link to your organization’s website from the LEON website Priority registration for LEON events and publications* Priority promotion at LEON events and in publications* Priority for featured presenter at LEON networking meetings*
Please note: Membership in LEON is open to any individual or organization with an interested in advocating or providing services to the Latino community in Columbus. Dues are payable annually and are nontransferrable. The LEON membership term begins July 1 and ends on June 30. Dues can be paid by check Make checks payable to Latino Empowerment Outreach Network, PO Box 16215, Columbus, OH 43216
LEON Membership Application
Our Mission: To collaborate as a network of individuals and organizations to empower and enrich the Latino community in the areas of health, education, advocacy, and communication.
or PayPal (accessible from the www.leongroup.org website) at any time. Dues are not pro-rated. Membership rates are subject to change and are at the discretion of the LEON Executive Committee. *Based on meeting schedule and/or availability of services.
LEON-Latino Empowerment Outreach Network PO Box 16215 Columbus, OH 43216 www.leongroup.org For more information please contact NoraJill Pasos, President, norajill.pasos@gmail.com Melissa Cardenas, Treasurer, cardenas@melissacardenas.com
Make checks payable to Latino Empowerment Outreach Network, PO Box 16215, Columbus, OH 43216