Membership data form below

Membership

 is open all gay and gay friendly businesses and individuals.

 

Blue Chairs Beach Resort

Casa Cupula

DoinItRight
In Vallarta

gayguide Vallarta

Hotel Mercurio

Los Balcones

NYPV
Bar New York

Membership Application

Please complete the following information then send.  You will be contacted to confirm the information and Membership type.  Thank you for joining Ambiente Puerto Vallarta.  We hope you as well as the organization will benefit.



MEMBERSHIP   APPLICATION

 

Membership Type   Additional Member
 Business Name If Yes, # Added Members
 Year Business Established *Founder's Club  
   

Primary Member

Second Member

Your Name 2nd Name
Your Email   2nd Email
 Your Title 2nd Title
Address 2nd Address
  City  2nd  City
  State 2nd State
  Zip or CP  2nd  Zip
 Home Phone 2nd Home Phone
Work Phone  2nd Work Phone
   
Web site 1
  Web site 2
  Business Type
Referred By
Please provide a 2-3 sentence description of your business for Ambiente Puerto Vallarta web site directories and other Member listings.
Please provide Directions to your Location or a Description of how the business can be located.

   Please answer Yes or No to the following:

Contact Me, I have input & questions for Ambiente Puerto Vallarta
Contact Me, I would like to Host a Ambiente Puerto Vallarta Fundraiser
Contact Me, I would like to Host a Monthly Luncheon
Contact Me I would like to Present on a Business Topic at the Monthly Luncheon - 15 Minutes + Q&A 
Send Email re Ambiente Puerto Vallarta News and Events
Do you Check Email Daily?
List Name 1
List Name 2
List Business Name
 List Business Address/Location
List Business Web Site(s)
Keep All of My Information Confidential

* Platinum, Gold, Silver and Benefactor Members are automatically Members of the Founder's Club. If you have a Bronze or Personal Membership and would like to be a Member of the Founder's Club, Select the Founder's Club as an addition to your Membership. Bronze Members who join the Founder's Club will be changed to Gold level Members.

**Please provide Business address for Business and Non-Profit Memberships and Home Address for Personal Memberships. All information is confidential unless specific permission is granted for use in Ambiente Puerto Vallarta marketing materials including the web site. Ambiente Puerto Vallarta staff may make deliveries to you or pick ups and from time to time you may receive a mailing regarding Ambiente Puerto Vallarta business or events.

Send mail to info@pvglba.org with questions or comments about this web site.  All content is property of Ambiente Puerto Vallarta and may be copied with permission.  Please contact us to explain the purpose of your use.

Copyright 2004 Puerto Vallarta Gay and Lesbian Business Association All Right Reserved.

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