2020 Membership Application ...



2020 Membership ApplicationBusiness Name:Name:Title/Position:Mailing Address:City:State:Zip:Business Number:Fax Number:Home Number:Cell Number:Business Email Address:Personal Email Address:Website Address:Type of Business:Number of Employees:Additional Contacts: Please provide the names and email addresses of any persons from your business or organization that you would like added to the email list. Level of Membership: Please check one.Business MembershipsSpecialty Memberships( ) Chairman’s Circle Member ($2,500)( ) Agribusiness Member ($150)( ) Community Champion Member ($750)( ) Non-Profit Member ($100)( ) Community Supporter Member ($400)( ) Individual Member ($100)( ) Community Member ($250)Please make check payable to Quitman-Brooks County Chamber of Commerce. ................
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