2011 Membership Application Dolores Chamber of Commerce by arslanoguz

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									                                  DOLORES CHAMBER OF COMMERCE
                                   2011 MEMBERSHIP APPLICATION
BUSINESS INFORMATION:
Business Name: _______________________________________________________________________________________
Mailing Address: _________________________________ Physical Address: _______________________________________
City/State/Zip Code: ________________________________ City/State/Zip Code: ___________________________________

CONTACT INFORMATION:
Contact Person: _____________________ Local Phone #: ____________________ Other Phone #: ____________________
Cellular #: __________________________Toll Free #: __________________________ Fax #: _________________________
Website Address: ____________________________________ Email Address: _____________________________________
Hours of operation _____________________________________________________________________________________

BROCHURE CATEGORY:    One category is included with your membership; additional brochure
categories are available for $20 per additional category:
(Please circle below or list here)

_______________________________________________________________________________________________________
ACTIVITIES & ATTRACTIONS - ADVERTISING – ANTIQUES – BANKS – CAMPGROUNDS, CABINS & RV PARKS –
CHURCHES – CIVIC ORGANIZATIONS – CLOTHING & APPAREL – COFFEE SHOPS – COMMUNICATIONS & MEDIA –
COMMUNITY SERVICES – CONSTRUCTION & BUILDING MATERIALS – CONVENIENCE STORES – COSMETICS – CRAFT &
HOBBY SUPPLY – EDUCATION – ENTERTAINMENT – EXPOSITIONS – FUEL, FEED, FERTILIZER, FENCING – FUNERAL
HOMES- GALLERIES – GIFT & SPECIALTY SHOPS – GOURMET FOOD PRODUCTION – GOVERNMENT – GROCERY – HAIR
SALON – HEALTH CARE – INTERNET SERVICES – LIBRARY – LIQOUR STORE – LODGING, B&B, ACCOMMODATIONS –
MASSAGE THERAPY – MUSEUMS – OUTFITTERS – PLUMBING CONTRACTORS – PORTABLE RESTROOMS – PRINTING –
PROFESSIONAL SERVICES – PROPERTY MANAGEMENT – REAL ESTATE – RESTAURANTS – SPORTING GOODS –
TATTOOING – UTILITIES – VETERINARY CLINIC


Would you like to be considered for a position on the Chamber board YES________________ NO _____________



MEMBERSHIP DUES:

Yearly membership dues run January 1st to December 31st. Business dues are $100.00, individual dues are $50.00. Membership
includes one brochure category and your business information included on the Chamber’s website. Updates on the Chamber
website are made upon request. If you are a renewing member, please review your membership listing at
                                                 New members please
www.doloreschamber.com and include any changes to that listing with this application.

include a 75 word (or less) description of your business on the back of
this application for our website directory.
Membership Type: Business _____                                         Annual Membership Dues: __________________
                   Personal ______                    Additional categories for Brochure $20 each: __________________
                                                                     TOTAL MEMBERSHIP DUES: __________________

PLEASE PUT ON THE BACK A BRIEF DESCRIPTION OF YOUR BUSINESS IN 75
WORDS OR LESS.

PLEASE RETURN THIS COMPLETED APPLICATION ALONG WITH TOTAL MEMBERSHIP DUES TO:
      DOLORES CHAMBER OF COMMERCE, PO BOX 602, DOLORES, CO 81323
            CONTACT US AT 970-882-4018 OR doloreschamber@centurytel.net




Revised 1/13/07

								
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