Page 7 - Melissa Directory

MELISSA AREA CHAMBER OF COMMERCE
MEMBERSHIP APPLICATION

_______________________________________________________________________________
Name of Business / Organization PLEASE PRINT Date

_______________________________________________________________________________
Street Address of Company

_______________________________________________________________________________
Billing Address (If different than above)

_______________________________________________________________________________
City State Zip

_______________________________________________________________________________
Main Telephone ___Home ___Office ___Cell Fax Number

_______________________________________________________________________________
Primary Contact e-mail

_______________________________________________________________________________
Secondary Contact e-mail

_______________________________________________________________________________
Please tell us about your business

_______________________________________________________________________________
Website Business Category

_______________________________________________________________________________
Investment Level Amount Paid Check# Date

_______________________________________________________________________________
Signature

I am interested in helping promote the Chamber In the following areas:
Ambassador Program Special Events Phone Calls Office Volunteer

*There will be a $25.00 charge for any returned check.

Melissa Area Chamber of Commerce
P.O. Box 121  Melissa, Texas 75454
© 2018 Melissa Area Chamber of Commerce 5