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Yes!
I want to Join the Chamber
and Receive the
$2175 of
Drive Incentives.
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* denotes required field
*Name:
*Company:
Street Address:
*City:
State:
Zip:
*Phone: Fax:
E-mail Address:
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**Name of Member who Referred You to the North Shore Chamber of Commerce:
Please Place a Check in the appropriate Box:
- Number of Full-Time Employees
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1-5 ($350)
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6-10 ($500)
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11-15 ($550)
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16-20 ($650)
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21-25 ($750)
PAYMENT
VISA:
MC:
AmEx:
Card Number:
Exp Date:
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- I am Mailing a Check:
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- Make checks payable to North Shore Chamber of Commerce, Inc.
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- Mail Check to:
- Membership Drive
- North Shore Chamber of Commerce
- 5 Cherry Hill Drive
- Suite 100
- Danvers, MA 01923
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Or Fax Membership Application to (978) 774-3418,
Attn: Stephen Crowder
Comments:
© 2007 North Shore Chamber of Commerce. All rights reserved.
2007 Register Page is not secure. By pressing
the Submit button, you are agreeing to these terms. If you wish
to relay Credit Card information over the phone, please do so
by calling (978) 774-8565.
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