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In order to better serve our membership, it is important that we keep our information current. Thank you for taking the time to fill out the Business Profile. 

• Business Name:

• Business Address:  
   
  City:  State:   Zip Code:

• Mailing Address (if different):
  
  City:  State:  Zip Code:

• Phone:  Fax:

• Email:

• Web Page URL:
  

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• Owner/CEO:

• Contact Person:

  Phone
  FAX
  E-mail

• Business Type:

• Products and/or Services:

• How many full time employees:

• How many part time employees:

• Assets (Financial Institutions Only-Local Branch) $Million

• Date Business established   Month:   Year:

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• Please provide the following billing contact information
  (If different from above)

  Name
  Address
  City
  State
  Zip Code
  Our business would like to be included on the chamber gift certificate list (Chamber Gift Certificates are sold in various denominations and are redeemable at Chamber member businesses only.) Yes    No   We are interested in receiving email updates/reminders etc. Yes    No   We are interested in receiving the Chamber Newsline newsletter by email: Yes    No   Please list name and email: We would like to host a Business After 5 in 2010:Yes    No
  I am interested in hearing more about the following Chamber committees: Name: Education           Christmas      Ambassador Club              Golf Outing         Brew-Ha        100th Annual Banquet Fall Frenzy         Bubbles, Chocolate & Vino Experience