SALMO DISTRICT CHAMBER OF COMMERCE
2006 MEMBERSHIP APPLICATION

NAME:
ADDRESS & POSTAL CODE:
CONTACT PERSON & PHONE #:
EMAIL ADDRESS:
 

SCALE OF FEES

Business $70  -  Associations $25  -  Private Individuals $20  -  Seniors/Students $10

Attached Please find my payment in the amount of   $_____________________

Signed__________________________   Dated __________________________
 

PLEASE PRINT THIS FORM AND SEND IT TO THE ADDRESS ABOVE WITH YOUR PAYMENT

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