Renewal New Member

Name 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 NameRefer a friend to LEON!

Name Email Yes I am interested in serving in a leadership position in LEON. Please contact me about

future leadership opportunities.

Yes 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

LEON Membership ApplicationLEON Membership ApplicationLEON Membership ApplicationLEON 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.

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.

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.

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.

Make checks payable to Latino Empowerment Outreach Network, PO Box 16215, Columbus, OH 43216

Representative 1 Email Representative 2 Name Representative 2 Email Corporate $250.00 Representative 1 Name Representative 1 Email Representative 2 Name Representative 2 Email

Member Benefits

Student Individual Non-

ProfitSmall 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 non-transferrable. The LEON membership term begins July 1 and ends on June 30. Dues can be paid by check

LEON Membership ApplicationLEON Membership ApplicationLEON Membership ApplicationLEON Membership ApplicationLEON 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.

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.

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.

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.

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.

Make checks payable to Latino Empowerment Outreach Network, PO Box 16215, Columbus, OH 43216

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 NetworkPO Box 16215

Columbus, OH 43216www.leongroup.org

For more information please contact

NoraJill Pasos, President, norajill.pasos@gmail.comMelissa Cardenas, Treasurer, cardenas@melissacardenas.com

LEON Membership ApplicationLEON Membership ApplicationLEON Membership ApplicationLEON Membership ApplicationLEON 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.

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.

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.

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.

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.

Make checks payable to Latino Empowerment Outreach Network, PO Box 16215, Columbus, OH 43216