Please print and mail to:
North Hood Canal Chamber of Commerce
PO Box 774
Quilcene WA 98376
Questions: Please call (360) 765-4999 or email visitorscenter@embarqmail.com
Thank you!
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Choose type of membership:
___ $50 per year for a general membership of one person or business
___ $25 per year for a second business
___ $10 per year for each additional business
___ $25 per year for an associate membership
Add-on:
___ $15 per year add’l for listing in Smartphone-friendly website emeraldtowns.mobi
___ $10 per year add’l for digital display in Visitor Center lobby (pending)
Business Name ____________________________________________________
Your Name and Title ____________________________________________________
Mailing Address ____________________________________________________
Street Address ____________________________________________________
Town _______________________________ Zip _________________
Phone ____________________________________________________
Fax ___________________________________________________
Email ___________________________________________________
Website ___________________________________________________
Description of Business ___________________________________________________
___________________________________________________________________________
__________________________________________________________________
Number of Employees __________ Years in Business ___________
Total Annual Dues __________ Check Enclosed ___________
Referred by _____________________________________________________
Please print and mail to:
North Hood Canal Chamber of Commerce
PO Box 774
Quilcene WA 98376




