Board application 2015

Page 1

Warwick Valley Chamber of Commerce P.O. Box 202 Warwick, NY 10990 www.warwickcc.org

MISSION STATEMENT The WVCC’s objective is to foster cooperative action in advancing the civic, commercial, industrial, professional, and common interests of the organization’s members in the Town of Warwick, Orange County, and surrounding areas. CONTACT INFO Last Name______________________________________________ First Name______________________________________________ Company_______________________________________________ Address________________________________________________ Position________________________________________________ Type of Business_________________________________________ Day Phone______________________________________________ Fax____________________________________________________ Email__________________________________________________ EMPLOYMENTS (start with current & go in reverse chronological order) Employer________________________ City____________ ST____ Title_____________________ Responsibility____________________ Employer________________________ City____________ ST____ Title_____________________ Responsibility____________________ Employer________________________ City____________ ST____

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