Membership Application

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:
___ $10 per year add’l for digital display in Visitor Center lobby

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

Membership Renewal Application

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