Shattuck Chamber Membership Application
This is the Membership Application for individuals, organizations and businesses that would like to be a part the Shattuck Chamber of Commerce.  Thank you in advance for your contribution and for investing in the Shattuck Community!  You are making a difference and it is appreciated!
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Email *
Business Name *
Representative Name *
Representative Title *
Physical Address *
Mailing Address *
Approx. how many employees do you have? *
Do you have a Facebook page for your business? *
Business Phone Number *
Cell Phone Number *
Choose your Membership Level *
Payment Preference
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