
![]() The City Between Lake Cumberland And Dale Hollow Lake! |
ALBANY-CLINTON COUNTY CHAMBER OF COMMERCE
APPLICATION FOR MEMBERSHIP
__________________________________________________________________________
PLEASE ACCEPT THIS APPLICATION FOR MEMBERSHIP IN THE ALBANY-CLINTON COUNTY CHAMBER OF COMMERCE. INFORMATION BELOW IS FOR OFFICIAL CHAMBER RECORDS AND OTHER PROMOTIONAL USES.
NAME: ___________________________________________________________________
ADDRESS: _________________________________________________________
P.O. BOX__________________
CITY, STATE, ZIP____________________________________________________
TELEPHONE: (___)__________________E-MAIL:
__________________________
TYPE OF BUSINESS: _________________________________________________
WEBSITE: __________________________________________
FAX: ________________________
NUMBER OF EMPLOYEES: FULL-TIME________
PART-TIME_______
TOTAL______
KEY REPRESENTATIVE(S):
NAME:_____________________TITLE:________________
NAME:_____________________ TITLE: ______________
ANNUAL DUES: $__________
AREAS OF INTEREST/COMITTEE PREFERENCE:_______________________________
(SEE ATTACHED COMMITTEE PREFERENCE FORM)
__________________________________________________________________________
TO THE BOARD OF DIRECTORS:
WE ACCEPT THE ALBANY-CLINTON COUNTY CHAMBER'S INVITATION TO MEMBERSHIP AND LOOK FORWARD TO WORKING WITH YOU TO INSURE A HEALTHY ECONOMY, AN EVEN MORE PLEASANT PLACE TO LIVE, AND AN ENVIRONMENT WHICH WILL PROVIDE THE MAXIMUM QUALITY OF LIFE FOR THE CLINTON COUNTY AREA.
SIGNATURE: ___________________________________
DATE: ____________________
CONTACTED BY:_______________________________
Information provided will be used to establish basic business records on member firms. Although membership information other than name, representatives, location information, and business type is confidential, the Chamber Staff can best serve you by having accurate and complete information.
Albany-Clinton County Chamber of Commerce
312 King Drive
Albany, Kentucky 42602
606-387- 0228
|
Contact
the Albany Clinton County Chamber of Commerce today for your FREE Tourist
Information package!
©
2006www.albanyclintonco.com |