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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:
________________________________________________________________________ Comments ________________________________________________________________________ Yes, Please list me in your directory/brochure/advertising Dues: For new members joining in |