2021 (& Bonus 2022) Annual Membership Application Scott City Area Chamber of Commerce
1508 Main Street, Scott City, MO 63780 www.ScottCityMoChamber.org
**There will be a $3 service fee added onto memberships paid with a credit card.** You will receive an email with an invoice for payment after your form has been received.
Member Name: *
Business Name: *
Address: *
City, State, Zip: *
Phone: *
Fax:
Email: *
Business Type: *
Year Business Established:
Local Contact: *
Additional Contact persons & email:
Membership Level *
How would you like to pay? *
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