Firm or Organization: 

Owner: 

Phone:  

Fax:  

Your Email: 

Web Address Line: 

Business Address: 

Mailing Address: 

Business Classification: 

Number of Employees: 

Amount Due: 

Recruited By: 

Contact Person: 

Comments:

Membership dues in the Chamber of Commerce may be tax deductible as an ordinary and necessary business expense and are continuous until resignation is submitted to the Chamber Board of Directors. Investment dues paid to the Chamber are not a charitable tax deduction for federal income tax purposes. The Chamber is not a charity, but serves as an advocate organization for area businesses.