Register – Long Island Hospitality Association

Professionals Membership Application

* Member Photo

Drop file here or click to select.

* First Name

* Last Name

* Job/Position Title

* Email Address

* Confirm Email Address

* Phone Number

Facebook Link

paste full link - including https://

LinkedIn Profile Link

paste full link - including https://

Twitter Profile Link

paste full link - including https://

* Password

Strength: Very Weak

* Confirm Password

Company Information

* Company Name

* Company Logo

Drop file here or click to select.

* Company Phone

* Company Size

* About the Company

* Company Website

please enter http:// or https://

* Company Email

for general inquiries, not specific to you

* Company Address 1

Company Address 2

* Company City

* Company State

* Company Zip Code

Company Photos

Drop file here or click to select.

displayed on company profile

* May the above contact information be listed on the LIHA website?

Yes

* May your e-mail be used to send you updates regarding the LIHA?

Yes

If you are a hotelier, restaurant, destination or have event space, would you consider hosting an LIHA event?

Yes

* Would you like to be considered for an LIHA General Board Member position?

Yes