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Membership Application.pdf
MEMBERSHIP APPLICATION
HASTINGS AREA CHAMBER OF COMMERCE
111
East Third Street, Hastings, MN
55033
651-437-6775 /FAX 651-437-2697
Business Name
_____________________________________
Address
________________________________
Suite ______
City ______________________
State_____
Zip Code_______
Phone____________________
Fax ____________________
*Web Address
_______________________________________
E-mail
____________________________________________
*Free Web Link from the Chamber
site.
Contact Name(s) and Title(s)
__________________________________________________
__________________________________________________
Business Established
Date_____________________________
Business Classification
_______________________________
# of Employees ______FT _____PT (Two
PT = One FT)
Sponsor
___________________________________________
(person
who referred you to the chamber)
If you are interested in being on a
chamber committee,
please check here:________.
I hereby apply for membership in the
Hastings Area Chamber of Commerce.
My annual investment will be
$_____________, $15.00 of which is a
subscription
to the Hastings Area Chamber of
Commerce newsletter.
Please bill me:
___quarterly
___semi-annually
___annually___ Check enclosed
-OR-
___
Charge to my VISA/MasterCard (Circle
one)
Account #
__________________________________________
Expiration Date_________
CVV#____________
Signature__________________________________________
Billing
Address______________________________________
(Credit
card billing address if different
than above)
Investment
Schedule
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