Membership Application

Washington, Iowa
One of the Best 100 Small Towns in America

Membership Application

Business Name:

Mailing Address:

Location Address:

Phone Number:

Fax Number:

E-mail Address/Website:

Description of Business or Profession:

Year Business was founded:

Number of Employees:

Full-Time Part-Time

Owner/Manager & Title:

Contact Person RE Chamber Business:

Alternate:

Committee Interest:

Retail

Leadership Washington

Ambassadors

Special Events

Membership

Government Relations

Commercial Recruit

Holiday Events

Craft Festival

Men/Womens Golf Days

Investment Fee:
Total Investment:

Payment Enclosed
Bill me:
      Annual
      Semi-Annual
      Quarterly

Membership in the Washington Chamber of Commerce is for the purpose of carrying on the Chamber's Mission Statement. The undersigned hereby makes application for voting membership in the Washington Chamber of Commerce.