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This is the Four Points Chamber of Commerce 2012 Membership Application. |
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Member Application: |
| * Company Name: |
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| * Phone: |
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| Website: |
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| * Email: |
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| * Business Description (200 char max) |
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| * Business Keywords: |
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| * Physical Address: |
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| * City/State/Zip: |
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| Country: |
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| Mailing Address: |
Same as physical address
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| City/State/Zip: |
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| Country: |
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| Business Category: |
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| Comments/Questions: |
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Primary Contact Information: |
| * Name (First / Last): |
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| * Phone: |
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| Cell Phone: |
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| Fax: |
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| * Email: |
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| Contact Preference: |
Email
Phone
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| Social Networking: |
LinkedIn: |
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Facebook: |
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| Address: |
Same as Company Address
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| City/State/Zip: |
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| Country: |
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Billing Contact Information: |
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Same as Primary Contact
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| Name (First / Last): |
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| Phone: |
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| Cell Phone: |
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| Fax: |
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| Email: |
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| Contact Preference: |
Email
Phone
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| Social Networking: |
LinkedIn: |
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Facebook: |
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| Address: |
Same as Company Address
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| City/State/Zip: |
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| Country: |
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| Membership Package: |
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| Full: $600.00 Full Membership - All of the Event Membership Benefits plus Chamber Plaque, Banner AD Rotation on Chamber Website, Hyperlink from Chamber Website to your Business/Company Website, Advertising Sponsorship: Business Listing in the Chamber Newspaper Ad, Prioritized Member Directory Search listing with Company Logo, Social Media Links on Directory Listing |
| Event: $350.00 Event Membership - All of the Networking Membership benefits plus Chamber Member Rates on all Chamber Sponsored Community Events, Exhibit Booth Promotional Sponsorship at (1) Chamber Luncheon, Complimentary Chamber Sponsored Ribbon Cutting Event for Company |
| Networking: $200.00 Networking Membership Networking Opportunities at Meetings & Events, Member Luncheon, Chamber Name Badge and Sticker, Business Listing In Online Member Directory |
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| Additional Opportunities: |
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We will contact you with additional information. |
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| Payment Option: |
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Bill me Charge my credit card |
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| Submit Application: |
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Enter the CAPTCHA words, then press the Submit Application button.
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Submit Application
Print Application
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