Alliance Area Chamber of Commerce Membership Form
| Please print, fill out and mail to: Alliance Area Chamber of Commerce, 210 E. Main Street, Alliance, OhIo 44601 |
| Business Name: __________________________________________________ Address: ________________________________________________________ City: ______________________ State: ____________ Zip:________________ Telephone:_____________________Fax: ______________________________ Email ______________________________ Web Site: ____________________ |
| Primary Representative: _____________________ Title: __________________
Additional Representatives: ________________________Title: ______________ Email: _________________ |
| Contact Preference: ____ Email ____ Telephone ____Fax ____Regular Mail
Please give a brief description of your business: _________________________________________________________________ Number of employees: ____ |
| Membership Annual Investment: $____________ (Click here for investment schedule)
Circle Payment Method: Cash Check – Check #:____ Credit Card Card #:___________________________ Expiration Date:________ Cardholder’s Name:__________________Signature:_________________________ |
| Membership investments are paid in advance and automatically invoiced each year. Please note that dues may be considered ordinary and necessary business deductions but are not deductible as charitable contributions for income tax purposes. |