Application for Membership
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Application for Membership
A downloadable
PDF chamber application can be accessed here.
APPLICATION FOR MEMBERSHIP
GREATER MUHLENBERG CHAMBER OF
COMMERCE
Business
________________________________________________________________
Contact Person
__________________________________________________________
Address
________________________________________________________________
City ____________________________________ State
________ Zip _____________
Billing Address (if different from above)
City _____________________________________ State ________
Zip _____________
Phone ( )___________________________ Fax
( ) ____________________________
Website (this will be included on the chamber website with
a direct link to your
website)_______________________________________________________________________
Email Address/es
________________________________________________________
(Please place additional representatives' email addresses on the
back of this sheet
Business Classification (as shown/or would be shown in the
yellow pages)
Number of Employees
____________________________________________________
Principal Representative(s)
________________________________________________
_________________________________________________
Dues for the 2011 year: ___________
Please print and return this sheet, along with your
check payable to:
The Greater Muhlenberg Chamber of Commerce
PO Box 313
Greenville, KY 42345