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Harrisonville Area Chamber of Commerce
Application For Membership

Name of Business: *
Business Physical Address: *
Business Mailing Address
(if different):
City: *
State: *
Zip: *
Phone Number:
Fax Number:
Toll Free Number:
E-mail Address: *
Web Site:
Investment Category: *
Number of Employees: *
Authorized Voting Representative: *
Other Representatives:

Description of services and/or products:

How do you hope to benefit from Chamber membership?


The involvement of our members is what makes our organization strong. Please check the name of the committee you would like to join.
   Business Services & Promotion
   Economic Development
   Membership Development
   Education
   Legislative/Government Affairs


*By completing this form and clicking the submit button below, you acknowledge that you are an authorized representative of the company listed and have the authority to register your business with the Harrisonville Area Chamber of Commerce.

     
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