Membership Form for the Eagle Chamber of Commerce


Please fill out our membership forms. Once we have received your information we will contact you !

This is an explanation of the purpose of the form ...

Contents

  1. Please provide the following contact information:

    First Name
    Last Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Work Phone
    FAX
    E-mail
    Website

  2. Please provide the following product information:

    Please Mark with an ( X )   

       Categories - membership is per year

     Cost per year

     

    Employing 10 or More          

    $175.00

    Employing 4- 9                      

    $125.00

    Employing up to 3                  

    $100.00

    Non Profit Organization 

    $75.00

    Resident / Family

    $65.00

     

     
       

  3. Enter the date of ... :

    -- mm/dd/yy

  4. Enter the time of ... :

    -- hh:mm:ss am/pm


  5. Please tell us about your company. This is important because this is what will be presented to the chamber members

    ** This is a very important section. This allows us to get to know you better and this is

    what is posted under your new member profile  **

    Please tell us about your company and what you would like the chamber to do for you

    Memberships for 2008 --- we need need a copy of a valid business license - please fax a copy to

    1.323.254.3208 -- attn : business license

     

    Disclaimer

    This is an application for membership. By filling out this form, you are not guaranteed automatic acceptance.

    The Board of Directors votes once a month, on the 4th Tuesday of that month at the Monthly meeting to determine acceptance.

    We thank you for your application and your patience.

     


Author information goes here.
Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: 01/15/08