Salem Chamber of Commerce

Post Office Box 649

Salem, AR 72576-0649

Membership Application

Dues: Business $75.00 - Individual $25.00

 

Business/Individual/Organization Name:______________________________________________

Contact Name:________________________________________________________

Physical Address:_____________________________________________________
Mailing Address:______________________________________________________

City, State, & Zip:_____________________________________________________

Telephone No.____________________________ Fax No._____________________

E-Mail Address:______________________________________________________

Web Page Address:____________________________________________________

No. of Employees_____________________________________________________

What can the Chamber provide to help our area grow?________________________

____________________________________________________________________

List three defining aspects of your business for our web page:

(1)__________________________________________________________________

(2)__________________________________________________________________

(3)__________________________________________________________________

I would be willing to serve on a Chamber Committee: (please check)