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Membership Application
Please fill out for contact and promotional purposes.
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Business Name
*
Your answer
Owner/Representative
Your answer
Street Address
*
Your answer
Mailing Address
*
Your answer
Phone
*
Your answer
Website
Your answer
Email
*
Your answer
Nature of Business
*
Your answer
Current Number of Full-Time Employees
1-5
6-10
> 10
Clear selection
Current Number of Part-Time Employees
1-5
6-10
> 10
Clear selection
Do you have specific Community/Committee Interests?
Your answer
Would you be interested in serving on a subcommittee?
*
Yes
No
Comments, suggestions or projects you wish the Chamber to work on:
Your answer
Membership Fee is $100 (annually)
Please send check to:
Point Roberts Chamber of Commerce
P.O. Box 128
Point Roberts, WA 98281
Once your application has been processed, a receipt & certificate will be issued.
www.PointRobertsChamberOfCommerce.com
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