Chillicothe Ross Chamber of Commerce Application Form

MISSION STATEMENT:

The Chillicothe Ross Chamber of Commerce promotes economic and community development by providing services and addressing issues important to business.
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(740) 702-2722 | 45 E MAIN ST, CHILLICOTHE, OHIO

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Membership Application
Like what you've seen on our website? You can join the chamber right now! Simply complete the following application form and hit the submit button. Or, you can click here to get a one-page printable form to complete and mail or fax to us: Printable application. You may mail or bring a payment after you have submitted your application. Our address is at the top of this page. Your check should include at least one-fourth of the annual dues and the $20 application fee. Dues also are pro-rated based on the month you join. To learn what your annual dues would be, follow this link: Dues investment schedule

All fields marked with an * are required.

Application Date: *

Firm Name: *

Contact Name: *

Telephone: *

Fax:

Physical Address (include City, State, Zip): *

Mailing Address (include City, State, Zip): *

Billing Address (if different from above) (include City, State, Zip): *

E-Mail Address: *

URL (Web Page):

Total number of full time employees, including yourself: *

Year Established: *

Product or Service Classification: *

I understand that membership in the Chillicothe Ross Chamber of Commerce constitutes an established business relationship and that the chamber has my permission to communicate with my firm through various means, including e-mail and fax, on matters concerning the chamber. I also understand that my e-mail address will not be made available to any other person or company and that I may revoke this permission at any time.

Your membership to the Chillicothe Ross Chamber of Commerce includes a one-year subscription to Inc. magazine (12 issues). If you are a current subscriber, your subscription will be extended for another year. This is a paid subscription with no hidden charges, obligations, or automatic renewals.

If you do not wish to receive a free subscription to Inc. magazine (valued at $10) as part of your membership, simply send a receipt within 30 days of applying to Inc. Magazine Customer Service, PO Box 5752, Harlan, IA 51593-1252 and you will receive a refund in the amount of $10. Off available to US residents only, limit one per household. Thank you again for your membership.

Reason for joining the Chamber: