New Member Application |
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Company Information |
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Company: | * |
Address Line 1: | * |
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Address Line 2: | |
City: | * |
State: | * |
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Zip: | * |
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Phone 1: | * |
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Phone 2: | |
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Fax: | |
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E-mail: | * |
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Web Site: | |
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Business Category #1: | |
| Please contact us with questions regarding business categories. |
Full-time Employees: | |
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Part-time Employees: | |
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Members-only Access |
Members-only allows you to update your information online via a secure login. |
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Admin E-mail: | * |
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Password: | * |
Verify Password: | * |
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Additional Company Representatives |
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Additional Business Information |
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Business Category #2: | |
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Business Category #3: | |
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Business Category #4: | |
| *Availiable for Gold and Platinum memberships only. See Investment Level below. |
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 | Please indicate your expectations or greatest value to be provided through membership with the Allen-Fairview Chamber of Commerce. |
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Investment Levels |
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 |  | If you are affiliated with another chamber member, please contact Sharon Mayer by calling (972) 727-5585 or via e-mail: sharon@allenchamber.com |
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 | **The "Friend of the Chamber" membership level is reserved for retired idividuals, public officials and anyone who would like to be involved but does not want or need to promote a business, product or service. The benefits are reserved to opportunities to participate in events, serve on committees and receive notices from the Chamber. This is NOT designed for anyone with a business affiliation. | $115.00 |
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 |  | Total: | $30.00 |
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(*) Denotes Required Fields |