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Chamber of Commerce of the Mastics and Shirley, Inc. organized and incorporated 1951 P.O. Box 4, Mastic, New York 11950 (631) 399 2228
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MEMBERSHIP APPLICATION
I HEREBY MAKE APPLICATION FOR MEMBERSHIP IN THE CHAMBER OF COMMERCE OF THE MASTICS & SHIRLEY, INC. AGREEING, IF ACCEPTED, TO ABIDE BY THE RULES AND REGULATIONS OF THE ORGANIZATION AS SET FORTH IN ITS CONSTITUTIONS AND BY-LAWS
DATE:
BUSINESS NAME:
DBA: BUSINESS ADDRESS:
CITY: STATE: ZIP:
BUSINESS TELEPHONE:
NO. OF YEARS IN BUSINESS AT THIS LOCATION:
BUSINESS OWNER'S NAME: TITLE:
HOME ADDRESS: HOME TELEPHONE:
CITY: STATE: ZIP:
(CHECK ALL THAT APPLY): CORPORATION: PARTNERSHIP:
PROPRIETORSHIP: FRANCHISE: OTHER:
NAME OF PERSON WHO WILL REPRESENT THIS BUSINESS AT CHAMBER MEETINGS:
NAME: TITLE:
THIS APPLICATION FOR MEMBERSHIP IS SPONSORED BY THE FOLLOWING CHAMBER MEMBER:
NAME: BUSINESS NAME:
A BUSINESS CHECK FOR $120.00 MUST ACCOMPANY THIS APPLICATION:
APPLICANT'S SIGNATURE:
VOTED ON: ACCEPTED: TABLED:
Please Print this page (or click on this link to open join.txt in your system's default text viewer or here for join.doc in Word ) and mail along with your business check