Membership Application
I/We hereby apply for membership in the Brewster Chamber of Commerce and, in consideration of this application being accepted, to abide by the By-Laws of the Brewster Chamber of Commerce, and to pay the annual membership dues. (Renewable on the anniversary month of joining.)
Log in bij Google om je voortgang op te slaan. Meer informatie
E-mailadres *
General Business Information

To be used in the Membership Directory.
Name of Business *
Type of Business / Service
Tell us about your business or organization
*
Business Location Address (if applicable)
Business Phone Number and/or Email
Business Website and/or Social Media
(Please list all addresses i.e. Facebook: @brewsternychamber)
Key Contact Information
For office use only.
Main Contact Name & Title *
Main Contact Direct Phone *
Main Contact Direct Email *
2nd Contact Name & Title
2nd Contact Direct Phone
2nd Contact Direct Email
How did you hear about us? 
Was it a referral? Please let us know who referred you so we can thank them.
*
Annual Membership Dues
Please choose your membership: *
Verplicht
Dues are Non-Refundable. 
Annual renewals are based on the month that you join.
Are you a New Member or Returning Member? *
How would you like to pay for your membership? *
Notes: (Please fill in if there is anything that you would like to share with us.) *
Are you interested in learning more about joining one of our committees? Please check all that apply.
I understand that my membership is not valid until:
1) Application Form is received by Brewster Chamber;
2) I have paid the applicable membership dues;
3) I have received board approval (usually within 1-2 days of submitting application and payment.

Please note that you will be notified when your membership has been approved. We look forward to supporting you and your business or organization in our community!
*
Verplicht
Een kopie van je antwoorden wordt gemaild naar het adres dat je hebt opgegeven.
Verzenden
Formulier wissen
Verzend nooit wachtwoorden via Google Formulieren.
Dit formulier is gemaakt in Brewster Chamber Of Commerce.

Ziet dit formulier er verdacht uit? Rapport