 | | | | | | | | Orange Chamber of Commerce
Orange, New Jersey
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| ORANGE CHAMBER OF COMMERCE
MEMBERSHIP APPLICATION | | | Please Print Out this Form
Mail or Fax the completed form to our office. | | The undersigned does hereby submit application for membership in the Orange Chamber of Commerce. The undersigned warrants that he/she is a bona-fide business in good standing within the State of New Jersey and agrees to abide by the Constitution and By-Laws of the Orange Chamber of Commerce, including payment of annual dues in the amount of $125 or $250, according to the scale below.
Contact Name
___________________________________________________
Business
___________________________________________________
Address
___________________________________________________
City ______________________________ State _________
Zip Code ___________________
Phone _____________________________________________
Fax _______________________________________________
Email Address
___________________________________________________
Type of Business
___________________________________________________
Annual Dues:
_____ $125 for firms having 24 or less full-time employees
(2 part-time = 1 full-time)
_____ $250 for firms having 25 or more full-time employees
(2 part-time = 1 full-time)
Signature
___________________________________________________
Dues renewable January, 2005. Payment by check or major credit card accepted. Make check payable to "ORANGE CHAMBER OF COMMERCE" and mail with print-out of this form to P.O. Box 1178, Orange, NJ 07051. For credit card payment, call (973) 676-8725.
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