Company/Organization: |
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Year
Established: |
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Contact
Person: |
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Mailing
Address: |
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City: |
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Zip
Code: |
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Phone
Number: |
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Fax
Number: |
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Email
Address: |
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Web
Address: |
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What
Category Do you wish to be listed under in
publication? (Membership
Directory, Website, Ect.)
(i.e Accountant, Hair Salon, Real Estate) |
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Your
business will be listed on our website. Indicate
3 search words to look for your business: |
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How did you learn about the chamber? |
Name of
Chamber Member: |
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Chamber
Directory: |
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Newsletter: |
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Other
(please specify): |
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I give permission for the Chamber to
communicate with me by
(Check all that apply): |
Mail: |
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Fax: |
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E-Mail: |
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Number
of Full Time employees: |
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Number
of Part Time employees: |
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Number
of Contract Associates: |
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Number
of Professionals
(CPA, Dentist, Doctor,
Architect, Engineer): |
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Number
of hotel/apartment units: |
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