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BUSINESS MEMBER APPLICATION FORM

Simply fill in form below. Note: Your Email must be in place for the form to go thru.

Business Name:
Street Address:
Mailing Address:
E-Mail:

Phone:

Fax:

Web Site Address:
Name of Owner/Manager
Name of contact person for Chamber mailings and calls
Contact person's title
List in business directory under these categories: 1:
2:
Brief description of products/services offered (will be printed in Chamber newsletter):
If a seasonal business, what months are you open:
Days and hours of operation:
Number of employees (including proprietor): Full time:
Part time:
 
The undersigned hereby makes a continued application for Business Membership in the Saranac Lake Area Chamber of Commerce. In order to give the organization a steady and dependable income on which to plan its community programs, it is further agreed that this Membership is to be continuous unless cancelled in writing.
Signature:
Date of Signature:
Dues amount (see rates):
Amount of Dues Paid:

Would you like to be apart of our Chamber Dollar Program?:

*

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[ Economic Development ]  [ Summer Concerts ]  [ Canoe Races ]  [ Ride for Research ]

The Saranac Lake Area Chamber Of Commerce
39 Main Street, Saranac Lake, New York 12983
Toll-Free:1-(800) 347-1992  ·  Phone: (518) 891-1990  ·  Fax:(518) 891-7042
http://www.saranaclake.com  ·  Email: besttown@saranaclake.com

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