Application | Canton Chamber of Commerce

Membership Application

For a printout 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
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.

Indicates required fields. *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 is solely for the Chamber use only.