Membership Application

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Membership Application

Legal Business Name or Individual Name:

Owner(s):

Referred by:

Will this be an affiliate membership business or listing?
If yes, give name of existing business membership?

Yes	No

(Business) Mailing Address:

City:

State:

Zip:

Physical Business Address (if different):

(Include City/State/Zip)

Business Telephone:

Business Fax:

Number of Employees:

Full-time:

Part-time:

Business E-Mail Address:

Website Address
Reciprocal link required to activate hotlink
Instructions here

Local Contact Person & Title (if different from owner):

Business Listing Classification
Select from category list (maximum 2)

FOR LODGING/RV MEMBERS, Please give the guest capacity of your facility (guests or hookups):

Please give a brief description or list a few phrases that describe your business (25 words max.):

As a member, how will you promote the business interest of Fredericksburg & Gillespie County? Response Required

Annual Fair Share Investment level:
refer to Investment Guide

Administrative Fee:

$20.00

Total Amount Attached:

I prefer to receive membership statements:

Annually

Semi-annually

Quarterly

Form of Payment:
($25 fee for returned checks)

check	Visa
Mastercard	American Express

Account Number:

Expiration Date:

Application completed by:

I want to be a Chamber Ambassador

I want to be a Chamber Volunteer

ALL MEMBERSHIP APPLICATIONS ARE SUBJECT TO CHAMBER BOARD APPROVAL

Note: membership is automatically renewed unless written advance notice is received