2019 Membership Application
Membership in the Marion Chamber of Commerce is subject to approval by the Board of Directors
Membership in the Marion Chamber of Commerce is an investment in our community. The Chamber strives to promote and support the interests of our member companies and their quality products and services.
Firm Name ________________________________________________________________________
(If individual membership, Individual Name)
Physical Address __________________________________________________________________
Street City State Zip
Mailing Address ____________________________________________________________________
Street City State Zip
Phone __________ FAX ________________ Email _________________________
***Please check if you want your FAX number ______ and Email _____ address listed in the directory and on the web site
How would you like to receive your Chamber notifications? Email ______ Regular mail _______
*** If you would you like to receive Chamber information, announcements, and alerts by email, please furnish your email address: ______________________________________________________________
Does your business have a web site that you would like listed in the directory and on the web site?
Would you like to be a Chamber Check merchant? _____________________________________________
Directory Classification ____________________________________________________________________
Principal Representative _________________________________ Title _____________________________
Additional Representative _________________________________ Title ____________________________
Number of Employees ________ Amount of Annual Chamber Investment __________________________
Method of Payment: Check ________ Cash ________
Your investment automatically renews each year unless your written resignation is sent to the Chamber Board of Directors.
Signature ________________________________ Date _____________________________
Dues paid to the Marion Chamber of Commerce should be tax deductible as ordinary business expenses, not charitable contribution.
For office use:
ID#: ________________________________ Date Paid: _________________________
Check #: _______________________________ Deposit: #: _________________________
Membership update: ___________________________ Web site update: ____________________
Email update: _______________________________ Mailing list: _________________________