2007 Membership Agreement
Jackson Chamber of  Commerce
1021 W. Commodore Blvd.
Jackson, New Jersey 08527
Phone (732) 833-0005
Fax (732) 833-7033
Website: www.jacksonchamber.com
E-mail: jcinfo@jacksonchamber.com

The undersigned hereby promises to pay annual membership fees as set forth by the Board of Directors of the Jackson Chamber of Commerce. Continued membership is contingent upon the payment of these fees. The 2007 annual membership fee is $140.00.

Date: -- mm/dd/yy

Name of Business/Profession

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Mailing address if different from above:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Representative Name

Title
Business Phone
FAX
E-mail
Website
Emergency Phone

Business Category
 (i.e. yellow pages clasification)

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Copyright © 2002 [Jackson Chamber of Commerce]. All rights reserved.
Revised: December 20, 2006