Posted by: nhcccquil | September 29, 2012

Membership Renewal Application

 North Hood Canal Chamber of Commerce

Membership Renewal Application

We want to accurately describe your business on the website.  Please fill out a separate sheet for each business.  Information will be displayed on www.emeraldtowns.com

Business Name: ________________________________________________

Product or Service:______________________________________________

Your Name/Title:_______________________________________________

Mailing Address: ________________________________________________

Physical Address: _______________________________________________

Town, State, Zip: ________________________________________________

Phone: _____________________Cell Phone:_________________________

E-Mail:_____________________Website: ___________________________

Short Description: appears below alpha listing on web

_______________________________________________________________________

Long Description: appears on Member’s Personal Page, where space is also available for up                                                   to 10 products, images and/or documents (each) pertaining to your business.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Please choose type of membership:

_____ $50 per year for General Membership (one person or business).

_____ $25 per year for second Membership (same person).

_____ $10 per year for Each Additional Membership (same person).

_____ $25 per year for an Associate Membership.

Add on:

_____ $10 per year add’l for digital display in Visitor Center lobby.

 

Total Dues: ______ Check: _____ Signature:_____________________

 

Membership Application Fillable

 

Return to:

North Hood Canal Chamber of Commerce

P.O. Box 774, Quilcene, WA 98376


Categories

%d bloggers like this: