Member Application

Membership fees: $50.00 annually.

* Company Name

* First

* Last

Title

Address

City

State

Zip Code

Type of Business

No. of Employees

Phone Number - To opt in for text message reminders

Fax

* Email Address

Years in Business

Would you be willing to serve on a committee?

Type of Entity

How did you hear about EAC?

The information given is strictly confidential, for the exclusive use of the Employment Development Department, the Employer Advisory Council, and the California Employer Advisory Council. This information may not be used for solicitation, the creation of mailing lists, or any other unauthorized use and will not be released unless authorized by statute.

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