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A P P L I C A T I O N   F O R   M E M B E R S H I P

I/We hereby apply for membership in the Wallace Chamber of Commerce to help carry on the economic and civic growth and improvement of the Wallace area.  Membership will continue until written resignation is submitted or dues have become past due as defined by the Wallace Chamber by-laws.

Business Name: *
Contact Person: *
Mailing Address: *
Street Address: *
Phone Number: *
Number of Full-time Employees: *
Fax Number:
E-Mail Address:
Website:
Products and/or Services Offered: *
After submitting this application, you will be forwarded to additional information about processing your application.

W A L L A C E   C H A M B E R   O F   C O M M E R C E
P.O. Box 427
Wallace, NC 28466
Phone (910) 285-4044     Fax (910) 285-3310

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