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St.
John Chamber of Commerce
9495 Keilman, PO Box 592, St. John, In 46373 (PLEASE PRINT THIS APPLICATION AND RETURN WITH YOUR PAYMENT)
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MEMBERSHIP APPLICATION
We would like to join you and our fellow business community members in promoting and working for economic prosperity for the St. John area. The herein named business is applying for membership in accordance with the Chamber's by-laws and agrees to pay annual dues from year-to-year. Membership will continue until changed in writing and the applicant agrees to maintain its membership in good standing.
Please complete the following:
Business Name:__________________________________________________________________________________
Contact's Name:________________________________________________Title:______________________________
Business Address:________________________________________________________________________________
City:______________________________________________State:_________________Zip:____________________
Billing Address (if different):_________________________________________________________________________
City:______________________________________________State:________________Zip:_____________________
Phone No:_______________________Fax No:_________________________E mail Address:___________________
Year Orgainzed:_________________________Type Business:_____________________________________________
Service or Product Provided:________________________________________________________________________
If you would like to participate on any of the Chamber's Committees, please indicate your areas of interest:
______________________________________________________________________________________________
Sponsoring Member:______________________________________________________________________________
Signature of Applicant: (X)__________________________________________________________________________
Title:__________________________________________________________Date:_____________________________
Payment of annual dues is required with application and the applicant will be listed in the next published annual membership directory. ................................................................................................. ANNUAL DUES - $100.00
