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Membership Application
Please Print and Fill Out Completely
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Company Trade Name __________________________________________________ |
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Representative _______________________________________________________ |
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Telephone # ____________________________ FAX #
___________________ |
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E-mail Address ________________________________________________________ |
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Mailing Address
_______________________________________________________ |
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_______________________________________________________ |
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Referred by: _________________________________________________________ |
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I could help in the following way(s):
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__________ Membership
__________Publicity
__________ Street Fair
__________ Business
Expo
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__________ Calendar
__________ Dinner Dance
__________ Website
__________ Programs
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Join us and network your business at our monthly
meetings.
Share your business experiences with the other members
and profit from the speakers and programs.
We meet
7:30 A.M. at the Town & Country Restaurant on
the second Wednesday of each month - September thru June.
Check our Website for coming events.
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Annual Dues: $100.00 |
| PAYMENT :
____ Check Enclosed (Made Payable to NBRCC) or ____ Visa
___ Master Card |
| Card
Number_____________________________________ Exp. Date
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| Street Address on
CC Bill: _______________________________________________ |
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Signature_________________________________________ Date
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Mail completed Application to:
Northern
Burlington Regional Chamber of Commerce (NBRCC)
P.O. Box 65,
Bordentown, NJ 08505
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