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 > Home • Request Membership ApplicationJanuary 05, 2009 

 
Membership Application Request
* - Required Fields
  Contact Information
  To allow us to process your request quickly, please fill out all fields
*Contact Name:
Title:
Company / Org:
*Street Address:
Address 2:
*City:
State:
For non U.S. applicants
Province:
*Zip/Postal Code:
Work Phone:
Fax Number:
Email Address:
Website Address:
  Business Parameters
  Your Investment is determined based specific business parameters depending on the type of business you have.
For a general business category
Number of Fulltime Employees:
For Residential Development
Number of Units:
Financial Institutions
Millions of $ on Deposit:
Commercial Developers
Millions of Sq. Ft. of development:
  Business Owner/CEO Demographic Profile
Male/Female:
Ethnic Group:
For your convenience please indicate:
Send Fax Reminders?
Publish Company Address?
Publish Company Fax?
  Chamber Activities
  Please indicate Chamber activities that are of interest to you and or your company/organization
Chamber Activities:
Why have you decided to join the Chamber and what do you expect will be its greatest benefits to you and your company/organization
How can we benefit you?
  Application Completion
  The applicant hereby makes application for membership in the Boynton Beach Chamber of Commerce, Membership Investment is payable in advance, billed annually (January 1-December 31), and continuous unless you present written notification to the contrary
Date:
Applicants Name:
Referred By:
Select one or more membership classifications. Press CTRL (COMMAND key on the Mac) while clicking on more than one entry. The first category is free. There is a $ 50 charge for each additional category after the first.
Membership Classification(s)  
  Submit Application
  Submit the application, and our Membership Sales Director will calculate your Membership Investment and will call you to finalize your application.

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1880 N. Congress Ave Suite 106
Boynton Beach FL 33426
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