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Membership Application
For a print out of this application: [
DOC
|
PDF
]
Business:
Contact Person:
Address:
City:
State:
Zip:
Business Phone:
Fax Number:
Website Address:
E-Mail Address:
Reason for joining the Chamber:
Referred By:
Business Category:
# of Employees
Choose Amount
Home Based [Self-Employed]
Churches and Organizations
Realtor Associates
1-5
6-10
11-15
16-25
26-49
50-99
100-150
Annual Membership $:
(*One-Time Application Fee: $20.00)
Full Name
Today's Date:
Total $:
Once your application is received, you will be contacted with payment options. Payment is due before your application can be processed.
*All information given to the Canton Chamber of Commerce will be for the private use of the Canton Chamber, and will not be shared publicly. It it solely for the Chamber use only.