Membership

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MEMBERSHIP FORMS

St. Johnsville Chamber of Commerce	Type of Business Check one
For the Year 2012 Annual Dues--$65.00 - Individual $25 Renewing? - Add $10 Late Fee After October 31, 2010 Membership also includes: Business Directory Brochure and Website Listings Name of Business: _______________________________________ Date: __________ Tag Line: (Simple Sentence that best describes your business.) __________________ ________________________________________________________________________ ________________________________________________________________________ Owner/Manager:__________________________________________________________ Address:________________________________________________________________ Zip Code:_______________________________________________________________ Signature:_______________________________________________________________ Phone Business:____________________________ Home:____________________________ E-Mail Address:_____________________________@___________________________ Web site Address: www.___________________________________________________ (check) ____New Member ___ Renewal ___ Web Data: ( ___KEEP ___CHANGE) New & Current Business Members: Please fill out Website Data Page.	Agriculture/ Farming Alpaca Breeders American Legion Architect Automotive Banking Building Supply Car Wash Cleaning/Restoration Communications Contributing/Individual Members Crafts Drugs/Prescriptions Financial Florist Foods Retail Fraternal Organizations Funeral Homes Garden/Lawn Government/Local Health Care Historical Housing Insurance Laundromat Library/Museum Liquor/ Spirits Lodging Manufacturing Plumbing Post Office Publications/Printing Real Estate Recreation/Outdoor Sports/ Hunting Restaurants Retail/Wholesale Schools Services-County Sport/Health/Beauty Utilities-Telephone Video Rentals (Add your own) _________________________
Mail to: St. Johnsville Chamber of Commerce P. O. Box 144 St. Johnsville, NY 13452	Please print form and mail to the Chamber's "snail mail" address.

St. Johnsville Chamber of Commerce

Website Data, Membership Year 2012 Part B (optional)

Dear Business Member,

If you are renewing membership or joining you should include at least 25 words of information to your address listing. As an example you might add upcoming events, location, hours of operation, or more fully describe your business.

If you are interesting in adding pictures to your listing, please enclose them with this form. The pictures should be clear and not too detailed.

Name of Business Member: _{___________________________________________________________________________________________________}

Owner/Manager: ______________________________________________________________________________________

Please PRINT below the words you want added to your listing.

_____________________________________________________________________________________________________

Mail to : St. Johnsville Chamber of Commerce
P. O. Box 144
St. Johnsville, NY 13452

Contributing/Honorees/Individual Membership:

St. Johnsville Chamber of Commerce

Non-Business Membership Year 2012

Annual Dues--$25.00
October 1, 2011 to September 30, 2012

Membership also includes:
Directory Brochure and Website Listings (Optional)

Name of Member: _________________________________________________ Date: _______________________

Address:______________________________________________________________________________________________

Zip Code:_____________________________________________________________________________________________

Signature:_____________________________________________________________________________________________

Phone
Business:_____________________________________ Home:_________________________________________________

E-Mail Address:________________________________@____________________________________

Web site Address (if any): www.__________________________________________________________________________

(check) New Member:_____ Renewal:_____

Mail to : St. Johnsville Chamber of Commerce
P. O. Box 144
St. Johnsville, NY 13452

Use the above forms or better yet, print a form in PDF format by clicking below.

Print out our Latest Application Form - PDF file format ( Adobe Reader )

Print out our Latest Web Information Form - PDF file format ( Adobe Reader )

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04.17.12

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