Membership Application

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Membership Application
Please fill in the blanks below. You will be billed for your membership.
Your membership will be activated upon receipt of payment.

Contact Information

Firm Name
Street Address
City	State Zip

Mailing Address
City	State Zip

Phone
FAX
Number of Employees
Email Address

Business Information

Biz Classification (As in yellow pages)
Describe your Products or Services
Principal Representative
Additional Representative
SIC Code #1
SIC Code #2
Amount of Annual Investment

Your reason for joining the Chamber?

Areas of Involvement or Interest

Business After Hours Host	Committee Involvement	Advertising
Networking or Exposure	Economic Development	Government Affairs
Seminars	Labor Issues	Woman / Minority Ownership

Other :

Information
Your investment automatically renews itself each year, unless written resignation is sent to the Chamber Board of Directors. It is deductible as a necessary business expense, not as a charitable contribution. All applications are subject to approval by the Chamber Board of Directors.

Your investment includes a $5 charge per assigned member to cover an annual subscription tot hemonthly newsletter, Chamber Matters.

Please click on the Submit Application Button below to submit your application.