| Business Name
______________________________________________ |
| Contact Person
_____________________________________________ |
| Street Address
______________________________________________ |
| Mailing Address
_____________________________________________ |
| City ____________ |
State ______ |
Zip ____________ |
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| Phone (____)______________ |
Fax (____)____________ |
E-Mail ___________________ |
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The above business or person making application for
investment in the Fort Gibson Chamber of Commerce, and it is agreed that
the investment is continuous unless cancelled in writing. |
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Signature ____________________________ |
Date __________ |
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Annual membership investment fee schedule:
Utilities - $300.00
Manufacturing - $300.00
Financial Institution - $300.00
Franchise - $150.00
Service/Professional - $150.00
Small Business - $150.00
Non-profit Organization - $100.00
Individual - $50.00 |
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Your membership category
__________________________________ |
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Your membership investment
________________________________ |
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