PLEASE PRINT CLEARLY Individual Member Name: ____________________________________________________________________________ Would you like your name listed on the Chamber website? Yes____ No____ Company Name: ____________________________________________________________________________________________ Contact Person / Main Representative: ______________________________________________________________________ Street Address: Mailing Address: __________________________________________________________________________________________ City: __________________________________________________ State: _______________________Zip: _______________________________ Phone: _______________________ FAX: ________________________ Email: ______________________________________________ Web Site: ___________________________________________ Additional Representative: _____________________________________ Email__________________________________________
Areas I would be willing to help the Chamber: _____Boat Parade _____Art & Wine Festival _____Triathlon/Outdoor Events _____Golf Scramble _____Fishing Tournaments _____Bridge Tournament _____Board Member _____Calling Tree _____Other Events
Business Members Individual/Family Membership
$75 $35
Send Form and Check to: Johnson Lake Area Chamber of Commerce %Kathy Fowler, 29 Mallard Cove, Johnson Lake, NE 68937 308-627-3895
Areas I would be willing to help the Chamber ... - Johnson Lake
_____Golf Scramble. _____Fishing Tournaments. _____Bridge Tournament. _____Board Member. _____Calling Tree. _____Other Events. Business Members. $75. Individual/Family Membership $35. Send Form and Check to: Johnson Lake Area Chamber of Commerce. %Kathy Fowler, 29 Mallard Cove, Johnson Lake, ...
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