Chamber of Commerce of the Mastics and Shirley, Inc.

      organized and incorporated 1951

P.O. Box 4, Mastic, New York 11950 (631) 399 2228



"Working Together To Make It Better"

................................................................

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:                                                                                                                

     

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: 



...............................................................

 

Chamber of Commerce of the Mastics and Shirley, Inc.

      organized and incorporated 1951

P.O. Box 4, Mastic, New York 11950 (631) 399 2228



"Working Together To Make It Better"