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Please complete this form, print it and mail it with your check to...

HLPT
P.O. Box 30482
Winston-Salem, NC 27130-0482
 
Membership

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EDUCATION
 		 CULTURAL EXCHANGE AND
AWARENESS
 		 SPECIAL EVENTS
 
Scholarship Committee 

Student Incentive Program
Mentor Program
HLPT Representative at
community events

Hispanic heritage events
HLPT Representative at
Hispanic/Latino forums
Lanterns of Hope Volunteer
Fiesta (September)

Spanish Nite (April)
Hispanic Heritage Month
Events (Sep 15 - Oct 15)
COMMUNITY OUTREACH
 		 ADMINISTRATIVE
ASSISTANCE
 		  
Families in Need/Crises
 Assistance

Dental Clinic Volunteer
Community Care Center  
Volunteer
Financial Contribution

Fundraising
Scholarship Fund
 
 
 
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* You will become an active member as soon as we receive your payment
* You will receive a Membership notification when we have processed your application
* If you have any question in reference to you membership application you can call us at (336) 775-HLPT
(775-4578) or you can send us an e-mail with your questions to hlpt@yahoo.com

 As a member, you make a commitment to "light the path toward multicultural understanding" through
your participation in HLPT events and activities

 Your membership fee is 100% tax deductible. Please keep a copy for your records

HISPANIC LEAGUE OF THE PIEDMONT TRIAD
P.O. Box 30651
Winston-Salem, NC 27130-0651
phone/fax: (336) 775-HLPT (775-4578)

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