Astor Area Chamber of Commerce

2009 MEMBERSHIP APPLICATION

BUSINESS NAME____________________________________________

BUSINESS ADDRESS_________________________________________

MAILING ADDRESS__________________________________________

___________________________________________

TELEPHONE_____________________FAX_______________________

CELL____________________________

EMAIL______________________________________________________

(We do a lot of communication by email.)

WEBSITE_____________________________________________________________

NUMBER OF EMPLOYEES____________________________________

TYPE OF BUSINESS__________________________________________

__________________________Representative_____________________

OWNER SIGNATURE _________________________________________

DUES: BUSINESS $25.00 YEARLY ______

INDIVIDUALS $25.00 YEARLY ______

CLUBS, SCHOOLS, CHURCHES, ETC. $25.00 YEARLY ______

AFTER JUNE 1ST, DUES FOR ALL ABOVE  $12.50 1/2 YEAR  ______

MAIL TO: ASTOR AREA CHAMBER OF COMMERCE

P. O. BOX 329, ASTOR, FL. 32102

We hope you decide to join! We look forward to a very productive 2009 for our businesses and community! Thank you!