Page 42

Membership APPLICATION 5250 Grand Ave., Ste. 14 P.O. Box 104 Gurnee, IL 60031 (847) 871-0747 www.gurneechamber.com Business / Organization Name: _____________________________________________________________________ Address: __________________________________________________ State: _____ Zip: ______________ Phone: (

City: _______________________________

) ____________________ Fax: (

) ____________________

Email Address: ____________________________________________________________________________________ Website: _________________________________________________________________________________________ Number of Employees: ___________________

Year Business / Organization Began: ___________________

PRIMARY CONTACT INFORMATION Name: __________________________________________________ Title: __________________________________ Email Address (If different from above): _________________________________________________________________ Direct Phone or Cell Number: ( Business Classification:

) ________________________________________________________________

Manufacturing [

]

Retail [

]

Service [

]

Government [

]

Business Description (As it will appear on the Chamber Website; use other side if necessary):

42

Referred By: ______________________________________________________________________________________ ANNUAL MEMBERSHIP LEVELS:

Silver $250 Other

Check # ___________ Check # ___________

For Chamber Use Only: Date Received: _________________________

Acknowledgement Sent: _________________________

Village of GURNEE CHAMBER OF COMMERCE

IL-GUR-CW-16 Design.indd 42

5/4/2016 12:30:49 PM

Gurnee IL Chamber Profile  
Read more
Read more
Similar to
Popular now
Just for you