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Membership Application and Renewal Form

 

Name of Business ______________________________________________________

Contact Person ________________________________________________________

Category of Business                                                                                            

Business Address ______________________________________________________

Mailing Address                                                                                                   

Business Phone # __________________Fax#_______________________________

EMail:                                                                                                                 

WEB:                                                                                                                  

   If you have questions please call the Bellaire Chamber Office: 231-533-6023

Please enclose your check for $110.00 made payable to the
Bellaire Chamber of Commerce

and mail to: P.O. Box 205   Bellaire, MI 49615

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