Fremont Chamber of Commerce Membership Application Form

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FREMONT CHAMBER OF COMMERCE MEMBERSHIP
FORM

What does it take to be a Fremont Chamber Member?
It's so easy, just print out the form below, fill out the following information and write a check for the appropriate amount and mail. After the Chamber receives your application and payment, you will be contacted about your Fremont Chamber Website benefits including your new Fremont Guide page listing and your email & website links.
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ANNUAL DUES
Please check the appropriate box that applies to you & your business
	Individual	$50
	Business - 1 to 5 employees	$75
	Business - 6 to 20 employees	$100
	Business - 21 or more employees	$125
	Sustaining Membership	$200

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Fremont Chamber of Commerce Membership Application Form

Business Name_________________________________________________________________________________

Contact Person _________________________________________________________________________________

Street_________________________________________________________________________________________

City_____________________________________________State_________________Zip______________________

Phone (W)__________________________ Cell ____________________________Fax ________________________

Number of employees ______ E-mail _______________________________________________________________

Web Site URL: http://www.________________________________________________________________________

List web Address Yes____ No____, Link website to Chamber Yes____ No____

Description of Business (One Sentence)

_________________________________________________________________________________________________

I would prefer to communicate by e-mail. or I would prefer to communicate by regular mail.

Any special reason you joined the Fremont Chamber?

__________________________________________________________________________________________________

Any special person convince you to join?

_________________________________________________________________________________________________

Any particular way you would like to participate in Chamber activities?

_________________________________________________________________________________________________

PRINT THIS FORM & MAIL TO:
The Fremont Chamber of Commerce
P.O. Box 31139, Seattle, WA 98103

206 632-1500