Higginsville Chamber of Commerce
Membership Application
Date:
Name of Business:
In Business Since:
Designated Representative:
Spouse's Name:
Mailing Address:
Physical Address:
(if different)
City:
State:
Zip:
Phone:
Fax
Email:
Website:
Full-Time Employees:
(average 30 hours/week or more; 2 part time = 1 full time)
Please describe the nature of your business:
What do you hope to obtain from your Chamber membership?
What personal information may we include in your introduction?
(family, church/organization memberships)
What would you like to see the Chamber of Commerce accomplish in the community?
I would be willing to serve on the following committee(s):
Agriculture
Annual Banquet (special activities)
Beautification
Board
Business Promotions
Communities Activities
Economic Development/ Tourism
Membership
Membership entitles each business or individual one voting representative.
A portion of your Chamber investment may be tax deductible
as a business expense for federal income tax purposes.
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City of Higginsville
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