GREATER
MILLVILLE CHAMBER OF COMMERCE
DATE:____________
NAME (BUSINESS/INDIVIDUAL):_______________________________________
ADDRESS:_________________________________________________________
CONTACT
PERSON:_________________________________________________
PHONE:________________FAX:_________________EMAIL:________________
WEB SITE
DOMAIN NAME:___________________________________________
MEMBERSHIP TYPE
| Small
Association [$75] |
Professional
[$235] |
| Individual
[$65] |
Financial
& Utility [$340] |
| Retail
& Commercial (A) [$115] |
Property
Management [$185] |
| Retail
& Commercial Group B [$180] |
Property
Development [$300] |
| Retail
& Commercial (C) [$240] |
Governmental
Local [$200] |
| Industrial
[$420] |
Governmental–Regional
[$220] |
Small
Professional [$140]
|
Other |
NUMBER OF EMPLOYEES:________________________________________
DESCRIBE
YOUR BUSINESS:________________________________________
MAY WE CONTACT
YOU BY FAX / E-MAIL - YES:_______
NO:_______
SIGNATURE:________________________________________
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