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Bronzeville Chamber of Commerce
Application for Membership
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* Indicates required question
Email
*
Your email
Type of Business
*
Your answer
*
MM
/
DD
/
YYYY
Business Name
*
Your answer
Email
*
Your answer
Business Address
*
Your answer
Business Phone
*
Your answer
Membership Options/ Annual Fees
*
1-5 $150
6-10 $200
11-25 $250
26-35 $400
35-49 $600
50+ $1,000
Non Profit $100
Individual/Student $50
Required
Owner Name / Phone
*
Your answer
Contact Name / Phone
*
Your answer
Website
*
Your answer
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