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Berrien County Chamber of Commerce Membership Application
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* Indicates required question
Email
*
Your email
Business Name
*
Your answer
Principal Representative
*
Your answer
Billing Representative
*
Your answer
Physical Address
*
Your answer
Mailing Address
*
Your answer
Mailing Address
*
Your answer
Phone Number
*
Your answer
Cell Number
Your answer
Fax Number
Your answer
Type of Business
*
Your answer
Hours of Operation
*
Your answer
Number of Employees ( Please separate Full time, Part time, and seasonal)
*
Your answer
Email
*
Your answer
Website
Your answer
Social Media Handles (Facebook, Instagram etc.)
Your answer
Does your business accept Berrien Bucks?
*
If you are unfamiliar with Berrien Bucks and need more information please contact us
Yes
No
Other:
How would you like to pay?
*
We accept Cash, Card, and Check. If you would like us to call you and accept your payment over the phone please select the 2nd option. If you would like to mail your payment, please mail to P.O Box 217 Nashville, Ga 31639
In Office
Over the phone
By Mail
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