Salem Area Chamber of Commerce, New York, USA

Salem, NY Chamber Of Commerce Application Form (please click here, print and mail)

Yes, I would like to support the Salem Area Chamber! Please enroll my organization as follows:
     Please print and fill in the application form for mailing.

____________________________________    ________________________________
Full Company/Organization Name                          Contact Name

______________________________________________________________________
Mailing Address: Street                                       Town                State      Zip

______________________________________________________________________
Business Location (if different from above)

______________________    _________________________    ___________________
Work Phone                             Fax                                                Home Phone

__________________________________    __________________________________
E-Mail Address                                               Web Site

______________________________________________________________________
Brief description of your business

________________________    __________     ________________________________
                                                  Year established   Number of employees avg. 20+hr/wk

Interests:

Advertising	Education
Social	Communications
Special events	Administration

________________________________________________________________________
Comments

________________________________________________________________________

Yes, Please list me in your directory/brochure/advertising

Dues: For new members joining in
Jan-June - full fee July - Sept $5 off
Oct - Dec $10 0ff or full fee pays for current year as well as coming year.
Dues payable January 1 annually.

Friend/community organization/sole proprietorship $30 __________
Business with 2 or more employees                           $50 __________
Optional gift                                                                        __________
Total enclosed                                                                        ___________

____________________________      _____________________________
Name                                                           Signature

Please make checks payable to SACC and mail with application to :
          SACC
          PO Box 717
          ATT: Membership
          Salem, NY 12865