New Palestine Chamber Application

One Year Membership to New Palestine Area Chamber Of Commerce: $150.00

Includes:
*Lunch/Breakfast at nine regular meetings
*Free Business Listing on Chamber Website
*Free business listing in the 2010 Chamber Directory
*Opportunities to advertise in the Chamber Directory
*Opportunities to advertise on the Chamber Web‐site
*Your choice of opportunities to serve the Chamber
*Chamber Shirt
Name of Business:
Contact Person:
Mailing Address:
City:
State:
Zip Code:
Business Phone:
Fax:
Home Phone:
Cell Phone:
Type of Business:
Email:
Newsletter Preference:
Email
Regular mail
Website:
Dues must be paid in full prior to submitting information for the 2009 directory.

NOTE: If you have a New Palestine Area Chamber of Commerce Representative & their contact information is different from what is listed above, please list below. We will send all Chamber news and correspondence to your representative.
Name of Representative:
Phone:
Mailing Address:
City:
State:
Zip Code:
Email:
One additional non-voting member allowed per organization (price of meals not included) Additional representatives beyond two requires additional payment equal to 1/2 annual dues.
Name of Non-voting member:
Email:
Phone:
Cell Phone: