1427 North Wilcox Avenue, Hollywood, CA 90028-8123   Tel: (323) 962-2414   Fax: (323) 962-2010   eMail

www.bulgarianamericanchamber.org

ON-LINE MEMBERSHIP REFERRAL FORM
Do you know someone who might be interested in becoming a member of BACC?
Do you wish to publish your success story or the success story of your friend in the Directory?
You can refer to BACC any of your friends or publish a success story by completing this form.
 
  Most fields are optional but in order to make a contact we need to have your friend's name and either phone, address, or email. Please complete this form as much as you can. We will contact your friend and invite him/her to become a member of BACC. Thank you for your referral!
*Select the Directory(s) that your friend might be interested in
First Name of your friend
Last Name of your friend
Title/Position
(i.e. Agent, Artist, Contractor, Owner, Realtor, Dentist DDS, Physician MD, Mechanic, Attorney)
Company or Firm Name
Address
City    
State     Zip
Country (If different than U.S.)
  Please provide below any contact information you may know about your friend:
Business/Direct Phone
Cell Phone
Home Phone
Fax
Website
Public Email
Select A Business Category

Note: A Multiple selection is allowed. You may select more than one category for your business. Push and keep down the "ctrl" key on your computer when selecting categories.

If you are not sure which category your business belongs to, please click here to see all subcategories.
Your friend' Motto or Slogan
Description of your friend's business:
Something about yourself (Optional) The above Referral is made by:
If you enter your name above, Can We  Mention It when we contact your friend?
 		 Yes       No
 

 

 


The Bulgarian-American Business Directory


PURPOSE OF THIS REFERRAL FORM

  • To popularize the Bulgarian-American Chamber of Commerce and its website among the Bulgarian-American community
  • To highlight the mission and goals of BACC
  • To collect data about Bulgarian people who might be interested in becoming members of BACC and would consider a listing of their businesses in the Bulgarian-American Business Directory and/or an inclusion in Who's Who in Bulgarian-American Community Directory

WHO CAN USE THIS REFERRAL FORM

Everyone who is willing to participate in BACC marketing activities is welcome to use this referral form.