Membership Update - Clinton Area Chamber of Commerce - IL, IL

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Membership Update

Please help us update your membership by filling out this form by December 31, 2019.
Business Name *

Contact Person *

Mailing Address

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Physical Address

Fill out physical address if it's different than mailing address.

Address Line 1

Address Line 2

City

State

Zip/Postal Code

Telephone / Fax *

Email / Website

Number of full time employees *

Business / Organization Category *

Finance & Investment Government Hospital Education Non-Profit Direct Sales (no brick and mortar) Other

Billing Options (check one) *

Annual Semi-Annual

Would you like to participate in the Chamber Bucks Gift Certificate Program?

Yes No
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Clinton Area Chamber of Commerce - IL 100 S Center Street Suite 101, Clinton, IL 61727 217. 935.3364 chamber@clintonilchamber.com

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