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

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Full Company/Organization Name                          Contact Name

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Mailing Address: Street                                       Town                State      Zip

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Business Location (if different from above)

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Work Phone                             Fax                                        Toll Free

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E-Mail Address                                               Web Site

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Brief description of your business

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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 __________
A SPOUSE OF A REGULAR MEMBER	$5 __________
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	__________

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Name

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Signature Date

Please print this form and mail along with check or money order payable to FHACC :

FHACC
PO Box 206
ATT: Membership
Fair Haven, VT 05743