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SHCOC
Membership Application
2008-2009 Directory
& Guide Ad Deadline
is April 1st!
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We're excited
to welcome you as a new Member! For more information
about Membership, our Guide or our Website, call Vicki Nolan at Country
Lane, 725-8243 or Vanessa Petruccelli at 834-7172. Please print out
this form, complete it, and mail it to us along with a check for your Membership/Ad
to:
Sag Harbor Chamber of
Commerce, PO Box 2810, Sag Harbor, NY 11963
If
you would prefer to pay by credit card, please fax this form to 631-725-8245.
We'll get you on our Website
right away, and in the next scheduled release in May of our Annual Directory
& Guide. Until the Guide is printed you will be included in a
printed Guide Supplement.
Business Name:
________________________________________________
Street Address:
________________________________________________
Mailing Address: ________________________________________________
Phone: _____________________
Fax: ____________________
Website: ___________________________________________________
E-Mail: ___________________________________________________
May we use photos from your website
in your SHCOC Web Listing? [ ] Yes [ ] No
Owner/Contact Name(s):
_____________________________________________
Mailing Address: ___________________________________________________
Phone(s): (H)_______________________
(W)____________________________
E-Mail: _____________________________
Type/Nature of Business:
_____________________________________
Classified Listing to be used for
Guide and Website (limit 150 characters):
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
In Business Since: __________
In Sag Harbor Since: __________
Referred to Chamber By: _________________________________
Referrer’s Business: _____________________________________
Ad Selection:
Basic Membership with
Classified/Web Listing:
$175
Additional Identical
Listings in another category: $
25 each
Additional Category to be Listed in: ____________________________
Second Business (Same
owner as primary)
$ 50 each
Please provide additional classified listing for that business.
Additional Category to be Listed in: ____________________________
Realtor Listing (2 lines
beneath your agency listing) $ 50
Includes name, agency phone/ext, e-mail address and home/cell number.
Please charge my Visa/Mastercard
#_____________________________________
Expires on _____/_____
3-digit Security Code from Back of Card ________
Name (as it appears
on your card): _____________________________________________________
Billing Address for
Card: ______________________________________________________________
__________________________________
___________________
Signature
Date
For
Credit Card Payment, please Fax this form to 631-725-8245.
I would
be like more information about the following Chamber Committee(s):
__________________________
____________________________
I would like more information
about serving as an Officer/Director some day. [ ] Yes [
] No
How can the Chamber best
help you? ___________________________________________ ______________________________________________________________________________
______________________________________________________________________________
By joining the Sag Harbor
Chamber of Commerce, I agree to abide by its By-Laws and to the terms described
therein. Dues are $175.00 per year. Additional ads/Listings available
at additional cost. Members may be asked to pay at time of Application/Renewal.
