Independence, Inyo County, California

Chamber Application

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MEMBERSHIP APPLICATION
(Click for Application in PDF format}

 

Independence Chamber of Commerce

P.O. Box 397 139 North Edwards

Independence CA. 93526-0397

Phone 760-878-0084 FAX 760-878-2421

Email indcc@qnet.com

 

 

I would like to be a part of the Independence Chamber of Commerce.  I have enclosed my membership fee in the amount of $                       for the member category of                                                                    .             

Name of Business                                                                                                                                                                                  

Contact Name                                                                                                                                                                                       

Physical Address                                                                                                                                                                                    

Mailing Address                                                                                                                                                                                     

City/State/Zip                                                                                                                                                                                       

Residence Address                                                                                                                                                                                

Business Phone                                                                             Residence Phone                                                                             

Email                                                            Fax                                                               Website                                                      

I want to volunteer to do:                                                                                                                                                                   

                                                                                                                                                                                                               

Membership Categories

 

Membership fees are paid annually, with membership beginning in the month the original fee is paid.

Business (1+Employees)                  $75/year                                 Business Owner/Operator (no Employees)       $50/year

Government Agency                      $75/year                                 Organization                                                    $50/year

Family            $20/year  (Family membership is one or more persons in one residence, with one vote per residence.)

Patron over $500/year                                                                   Sustaining $250-500/year

(Approved installments can be made for Patron and Sustaining categories.)

Donations are accepted $                                                               or service/product _____________________________.                                           

 

Mail application and fee to P.O. Box 397, Independence, CA  93526 or bring to the office.

Board meetings:  second Monday of the month, 6:00 PM, at Chamber Office.

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Last modified: March 10, 2008

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