Greater Clifton Area Chamber of Commerce

P.O. Box 223    113 Main Street

Clifton, Tennessee 38425

APPLICATION FOR MEMBERSHIP

Please  Print  this  form,  fill it out and mail it to us along with your payment.

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Name of Business / Church, Club, Organization / Financial Institution / Individual / Utility

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Name of Person Representing Business / Church, Club, Organization / Financial Institution / Individual / Utility

If this is an individual membership application only, check here:_____________

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Street Address or P.O. Box

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City                                          State                                        Zip Code

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Telephone Number                                                              Fax Number

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Website                                                                               E-Mail Address

Number of Employees:_____________

Membership Amount ($):_______________

Signature: _______________________________________________Date:____________

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For Office Use Only

Date Membership Processed:________________

Open House / Grand Opening Requested and Date of Event:________________________

Individual Membership Only (check if appropriate):______________________________