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Membership Application
Date ___________________
Print and send to:
Putnam County Chamber of Commerce
P. O. Box 553, Teays, WV 25569 (304) 757-6510 Fax: 757-6562
Email:
chamber@putnamcounty.org
We ACCEPT the Chamber’s challenge to help make
Putnam County a better place to live and do business.
We wish to invest $__________ annually in
this important organization.
(Rates are based on the number of employees;
call or email us for a price list)
______Check enclosed ______Please invoice me
_______Please send info about employee health insurance.
Company ________________________________________________
Phone ____________Fax ____________
Street Address ___________________________________________
Email Address: _______________________
Mailing Address _______________________________________
Website Address:_________________________
Owner/Manager_____________________________
Contact Person (if different)____________________________
Brief Description of business, products, services,
etc.________________________________________________________________
___________________________________________________________________
I am particularly interested in:
___________________________________________________________________
___________________________________________________________________
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