I/We, hereby apply for membership in the Patterson Chamber of Commerce, and, in consideration of this application being accepted, agree to abide by the Bylaws of the Patterson Chamber of Commerce, and to pay the annual membership dues until membership is cancelled by resignation submitted in writing while a member in good standing, or otherwise terminated by action of the Board of Directors of the Patterson Chamber of Commerce.

CONTACT INFORMATION
NAME:
ADDRESS:
TELEPHONE #:
BUSINESS CATEGORY:

BUSINESS INFORMATION
BUSINESS NAME:
ADDRESS:
TELEPHONE #:
FAX #:
E-MAIL ADDRESS:
WEB SITE ADDRESS:
NAMES OF OFFICERS:
BUSINESS HOURS:
NUMBER OF EMPLOYEES:
BRIEF DESCRIPTION OF BUSINESS (50 words or less):
If you would like to have your business card printed in our monthly newsletter please include an additional $35.00 for one year and indicate here by checking this box.
We would like to keep you informed about Chamber events and information. Please check the method by which you like to be notified. Check all that apply. Mail Email Fax

Please enclose a check in the amount of $75.00, to be applied to the annual dues (plus $35.00 for business card ad if applicable.)

Applicants Signature:______________________________________ Date:___________________