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:
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:
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.

Copyright � 2001 Washington Area Chamber of Commerce. All rights reserved.

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