New/Renew Membership
Please read instructions for each question before completing the form.
Choose Membership type: *
Contact Information:
First Name *
Your answer
Last Name *
Your answer
Address 1: *
Your answer
Address 2: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Home Telephone (w/ Area Code) *
Enter in the following format: xxx-xxx-xxxx
Your answer
Mobile Telephone
Your answer
Work Telephone
Your answer
Email *
Your answer
Membership Category
Please select your membership category:
Check mark your area(s) of participation interest
Any Comments or Questions?
Your answer
Payment Method
Please read the directions carefully!

To pay by check, make check payable to "United Latinos".

The check amount should correspond to the membership category selected.

Mail check to:

United Latinos
PO Box 161753
Sacramento, CA 95816

Select Payment Method *
PayPal Payments
The following is only applicable if you intend to make a payment via PayPal. If you are mailing a check, please skip this section.

If you intend to make a payment via PayPal, please Submit the form then go to this link:

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