Fair Haven Area Chamber Of Commerce

Application Form

Yes, I would like to support the Fair Haven Area Chamber! Please enroll my organization as follows:
      Additional applications available at http://fairhavenchambervt.com/application_mail.html

____________________________________    ________________________________
Full Company/Organization Name                          Contact Name

Mailing Address: Street                                       Town                State      Zip

Business Location (if different from above)

______________________    _________________________    ___________________
Work Phone                             Fax                                        Toll Free

__________________________________    __________________________________
E-Mail Address                                               Web Site              

Brief description of your business

________________________________________________________    ______________________
Business Category (brochures and web site)                                    Hours of Operation

Yes, Please contact me about advertising on the FHACC web site for as low as $25 a year
Visit the Fair Haven Area Chamber of Commerce web site at http://fairhavenchambervt.com
Yes, Please list me in your directory/brochure/advertising Dues payable
May 1st annually
A REGULAR MEMBER shall be an owner or representative of a firm, association or corporation $50 __________
AN ASSOCIATE MEMBER shall be any other person (example: Senior Citizen, Subsequent representatives of a firm, corporation or association, etc.) $10 __________
If you have a WEB SITE or an E-MAIL and you would like a link on the Chamber web site fairhavenchambervt.com FREE with membership
Your link:
If you would like to be listed on the web site under more than 1 category (example: restaurants and accomodations, financial planning and insurance)  $5 __________
Total enclosed       __________

______________________________________________________      __________________
Signature                                                                                      Date

Please print this form and mail along with check or money order payable to FHACC :
PO Box 206
ATT: Membership
Fair Haven, VT 05743
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