Anaheim Chamber Of Commerce
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Membership Application
Tell us about your company. Provide information exactly as you would like it to be listed. Please Print legibly.
     
Company Information:  Date:

Company Name :
Address :
  Suite:
City :
  State:
Zip Code :  
Business
Phone :		  
Fax :   
Cell :   
Company Web Address :  
Year company began :
Is this a
New Business?
Number of full time employees
(2 part-time=1 full-time)
Contacts    :  
 1st Contact Mr :  
  Ms :   Title :  
Email :
Phone:
2nd Contact Mr :    
  Ms :   Title :
Email : Phone :

* First Contact is the individual who will receive all mailings and communications from the Chamber and be recognized as the contact person in directories and the Chamber website (www.anaheimchamber.org)

     
CHECK HERE if you would like your e-mail address published on our website, directory, and This Week in Anaheim
Business Classification :  
Participation Interest    
  Ambassador
  Golf Tournament 
  Special/Monthly Events
  Membership
TOTAL PAYMENT Annual Membership Investment $
  Processing Fee $ 40.00
  Amount Due $

METHOD OF PAYMENT (Circle One)
  Check enclosed
  Visa
  MasterCard
  American Express
  Discover
Card #  
Expires  
Signature  
3 Digit Security #  
 
Mail To: Anaheim Chamber of Commerce
201 E. Center St.
Anaheim, CA 92805
Fax To: (714) 758-0468

 
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© Anaheim Chamber of Commerce
201 E. Center Street Anaheim, California 92805. • Tel: 714.758.0222 • Fax: 714.758.0468