Membership Application

The undersigned agrees to pay the investment as shown on the 2007 schedule. Membership entitles you to all the privileges and benefits afforded a member of the Morrisville Chamber of Commerce. Membership shall be continuous unless cancelled in writing or for cause.

COMPANY NAME: _________________________________________________________

STREET ADDRESS: _______________________________________________________

CITY: _________________________ STATE: _______________ZIP: _________________

MAIL ADDRESS (if different): _________________________________________________

TELEPHONE: ___________ DIRECT LINE: _____________ FAX: ____________________

EMAIL: ____________________________ WEB SITE: ____________________________

CONTACT PERSON: ________________________ TITLE: _________________________

ADDITIONAL BUSINESSES, AGENTS, LOCATIONS: _______________________________
_______________________________________________________________________

BUSINESS CLASSIFICATION FOR DIRECTORY: _________________________________

# OF EMPLOYEES: FULL-TIME _______ PART-TIME: _______

I PREFER TO RECEIVE INFORMATION BY:

    O   MAIL
    O   EMAIL
    O   FAX

INVESTMENT AMOUNT:  $________________ APPLICATION FEE:  $25.OO

SIGNATURE: _____________________________________ DATE: __________________

VISA/MC CARD #____________________________________ EXP. DATE: ____________

HOW WERE YOU REFERRED TO THE CHAMBER? _______________________________

There is a one-time application and processing fee of $25.00 for new and reinstated members. For calculating your investment amount, please refer to the Investment Schedule.

Apply Online - coming soon!