Hilton-Parma Chamber of Commerce
Membership Application Form
Company Name: ___________________________________________________________
Principal Officer: _______________________ Title: ___________________
Street Address: _______________________ P.O. Box: ___________________
City: _______________________
State: ______________ Zipcode: ___________________
Company Phone: (____) ____ - ________
Company Fax: (____) ____ - ________
E-Mail Address: ____________________________________
Web Address: ____________________________________
Description of Company for Chamber Directory:
   
 
Signed: _________________________________ Date: __________________

Annual fee $75 - Checks should be made payable to the "Hilton-Parma Chamber of Commerce"

Print this form, sign and date in the spaces provided, and mail along with your payment to:
Hilton-Parma Chamber of Commerce
P.O. Box 143
Hilton, NY 14468