Brandon Area
Chamber of Commerce

MEMBERSHIP APPLICATION FOR 2008

PLEASE CALL (802-247-6401) FOR DUES INFORMATION

Please mail completed form and dues to:
BACC, PO Box 267, Brandon VT 05733
 

The undersigned hereby makes application for membership services and privileges in the Brandon Area Chamber of Commerce, and agrees to pay an annual subscription fee of $ ______

New membership dues will be pro-rated based upon a 12 month cycle, figured January through December. Dues are collected beginning in November for the following calendar year. Please call for rates.

Business Name: ___________________________________________

Contact Person: ___________________________________________

Mailing Address: __________________________________________

Street Address (if different): _________________________________

City, State, Zip: ____________________________________________

Phone: _____________ Fax: _______________

Toll-free: ______________ E-mail: ___________________

Website address: _______________________ (Due to space constraints in our Membership Directory, fax numbers, toll-free numbers, and e-mail and website addresses are for business memberships only but if you would like to get Chamber mail by e-mail, please provide your address)

Would you like us to link to your website at no charge? ______

Category choices for Membership Directory: (You may circle more than one if appropriate)