Chamber Membership Form

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Please figure your membership on full time equivalent (FTE) employees.
(i.e. 2 employees working 20 hours/week = 1 FTE)

Membership:
Name of Business:
Contact Person(s):
Address 1:
Address 2:
City:
State:
Zip Code:
How long have you been a member?
Phone #: (555-555-5555)
Fax #: (555-555-5555)
E-mail:
Web site: (links on web page)
If you have any ideas or suggestions of how your chamber can better serve you, please write it below and it will be forwarded to the board so it can be discussed. All comments are welcome. Thanks!

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