Page 19 - 2026 Membership Investment and Marketing Guide_2025_10_01

Company Name: ____ DBA: _________

Owner: _______________ Manager: _________

Physical Address: ________

Mailing Address: ______

City, State, ZIP: _____________

Billing Address:________________________________________________Contact: _________________

Phone Number: __________ Email:___________________________________________

Website: ______________

Facebook Minority Owned

Twitter Veteran Owned
Instagram Women Owned
Other:

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

Additional Category Type(s) (Additional $30 each Annually): ____________________
____________________ ____________________

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

Hours of operation ______________________________________________________________________

Your business membership is an investment in the Van Buren Chamber of Commerce and entitles you to be listed under one business category
in our membership directory and on our website. Membership dues in the Chamber may be tax deductible as a regular business expense. Dues
paid to the Chamber are not a charitable tax deduction 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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