Membership Application - Carolinas Chinese Chamber of Commerce
Email address *
Current Date *
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DD
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YYYY
Business Category *
Your answer
Name of Business *
Your answer
Name(s) of Representatives
Your answer
Sex of Representative
Title *
Your answer
Address Line 1 *
Your answer
Address Line 2
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City/State/Zip *
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Phone number *
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Fax
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Email *
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Website
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Referred by
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Brief description of business (25 words or less) *
Your answer
By providing a fax number and e-mail address, I/we agree to receive fax and e-mail communications from the Carolinas Chinese Chamber of Commerce.
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