Application for Membership

The Bound Brook Area Chamber of Commerce

Application is hereby made for membership in the Bound Brook Area Chamber of Commerce.  Please enter my membership with the payment of annual dues as signed below. 

Annual Dues:____________________________Date:___________________________

       [Dues:  1-9 employees - $60.00    10 or more employees - $110.00

                     (The Chamber's membership year is April-March)]

Business Name:______________________________________________________________________

Address:_____________________________________________________________________________

____________________________________________________________________________________

Phone:_______________________Fax:______________________email:_________________________

Web Site:--___________________________________________________________________________

PLEASE INDICATE IF YOU WOULD LIKE CHAMBER INFORMATION(MINUTES, NOTICES, ETC.) SENT BY EMAIL OR MAIL.

Mail______ Email______   (Please use e-mail if possible so we can save mailing expenses.)
 

Type of Business:_________________________________________________________

PLEASE INDICATE THE TYPE OF BUSINESS YOU ARE IN

Accounting, Bakery, Construction/Remodeling, Education, Entertainment, Financial, Health/Indicate Type of Care, Insurance, News Media, Real Estate, Restaurant/Indicate Type, Retail/Indicate Type of sales, Service/Indicate Type(Cleaners, Locksmith, Plumbing, Appliance Repair, etc.), Technology, Travel or Other (please give a specific service you provide). 

Signature of Designated Representative: ________________________________       

Print Name:_______________________________Date:_____________________________________

The Bound Brook Area Chamber of Commerce

P.O. Box 227

Bound Brook, NJ  08805

732/356-7273