Edmonton-Metcalfe County Chamber of Commerce

MEMBERSHIP APPLICATION

Department of Membership
Edmonton-Metcalfe County Chamber of Commerce
PO Box 42, Edmonton, KY 42129
Phone: 270-432-3222
Fax: 270-432-3222
E-mail: metchamb@scrtc.com
Website: www.metcalfechamber.com


____ Individual or Small Group/Club ($35)	____ Small Business ($60)

____ Medium Business ($85)	____ Large Business ($125)


DATE _______________________________ BUSINESS/PERSONAL NAME __________________________________________________________ PHYSICAL ADDRESS _________________________________________________________________ ____________________________________________________________________________________ MAILING ADDRESS __________________________________________________________________ ____________________________________________________________________________________ CONTACT PERSON(S) ________________________________________________________________ PHONE _________________________ WEBSITE _________________________________________ FAX ___________________________ EMAIL ____________________________________________