Helping Build a Better Business Community
Firm or Company Name:
Address:
City:
Zip:
E-mail:
Phone:
Fax:
Name:
Title:
Main Product or Service:
Referred by:
Company:
The payment for $ represents our Fair Share Investment for the purpose of underwriting the Program of the Signal Hill Chamber of Commerce. This investment will be for a 12 month period. Membership will be renewable each year until canceled in writing. We understand we will receive all the benefits and voting privileges of the Chamber membership upon application approval.