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MARK WEST AREA
CHAMBER OF COMMERCE and VISITORS CENTER
Committed to the Prosperity and Enduring Uniqueness of the Mark West Area

Click here for our Online Membership Directory.

 





Chamber Membership Application

Name of Company or Individual *
Please print name as desired for
Business Directory.
 Select One: *
 Date Established *
Street Address
 City
 Zip
Mailing Address
 City
 Zip
Name of Voting Member *
 Title *
Phone # *
 FAX #
 Toll Free #
E-mail Address
(please print it exactly)
 Website Address
(please show it exactly as it should be)
Directory/Internet Category *
 Additional Categories ($20 each)
Number of Employees *
(including owners)
Standard Dues
$ 95.00 Individual (no business affliation)   
$125.00 Business (1-5 Personnel)  
$175.00 Business (6-10 Personnel)  
$245.00 Business (11+ Personnel)  
$625.00 Corporate Sponsor  
Non-Profit Dues
$110.00 Business (1-5 Personnel)  
$155.00 Business (6-10 Personnel)  
$215.00 Business (11+ Personnel)  
Description *
Please describe your business, in 500 characters or less, for your Directory/Website listing.
Promote Your Business!
As a new member, or anytime, you can promote your business and help the Chamber!
Hold a New Member Ribbon Cutting  
Host a Business After Hours Social  
Volunteer on a Committee?  
Help out at an upcoming event?  
Advertise in our monthly newsletter (The Lark)  

If you wish, you can Pay online with PayPal.

If you prefer, you can fill out and print this form and MAIL it to the Chamber Office with your check.

Thank you for your support! Your chamber investment is non-refundable and normally tax deductible as a legitimate business expense, but not as a charitable contribution.

Please press Submit to send us your membership application.

* Required to submit this form












Copyright © 2002-2009 Mark West Area Chamber of Commerce
4787 Old Redwood Hwy., Suite 101, Santa Rosa, CA 95403
Contact Us by Email: markwest@markwest.org
Phone: (707) 578-7975 / FAX: (707) 578-0397
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