Page 13 - 2025 Membership Investment & Marketing Guide

Company Name: ____ DBA: _________

Owner: _______________ Manager: _________

Physical Address: ________

Mailing Address: ______

City, State, ZIP: _____________

Billing Address: ________________________________________________ Contact: _______________________

Phone Number: __________ Email:___________________________________________

Website: ______________

Facebook Minority Owned
Twi er Veteran Owned
Instagram Women Owned
Other:

# of Full Time Employees: # of Part Time Employees: ____
Category Type: ____________________ ___________________

Addi onal Category Type(s) (Addi onal $30 each Annually): ____________________
____________________ ____________________

____________________ ____________________
Brief Descrip on of Business to be displayed on the Chamber Website:
_______________

Hours of Opera on ____________________________________________________________________________

Your business membership is an investment in the Van Buren Chamber of Commerce and en tles you to be listed under one business category
in our membership directory and on our website. Membership dues in the Chamber may be tax deduc ble as a regular business expense. Dues
paid to the Chamber are not a charitable tax deduc on for tax purposes. All memberships are billed on an annual basis according to the month
in which membership was originated. Memberships are non-transferable.

Signature Date

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