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How To Join

Download below the membership application in its PDF format. Complete and fax to HACIA at (312) 575-0544 or email back to Maria Mercedes Esparza Or complete the online form.

HACIA Membership Application 2020


Fields marked with an * are required

ex. 555-555-5555

For the purpose of representation one membership designee is conferred to company. This member will serve as its voting member and will be responsible for upholding membership responsibilities.







Membership Category (check one):

  • At least 51% Hispanic owned and managed
  • MBE/WBE/DBE certified. Current certification(s) must be submitted with this application
  • Any M/W/DBE less than 51% Hispanic owned and managed.
  • Gross volume in excess of $20,000,000+

Annual Membership Dues: (check one): Total volume is defined as last year’s annual gross revenues

Annual Membership Dues: Total volume of your 2018 annual gross revenue

Check Appropriate Box below for your Dues Rate

Payment either by check payable to HACIA or call HACIA (312) 575-0389 to make a payment with credit card.

If paying by Check, please send checks to HACIA at 650 W. Lake St. Suite 415 Chicago, IL 60661.

You can upload the attachments for the firm’s current certification letter and any supporting documentation

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