Join the Ellensburg Chamber of Commerce

Please fill out this form, print it, and mail it to us at the address below, or email us at info@ellensburg-chamber.com for an application form.

Membership Application Form
Business:
Contact Name:
Mailing Address:
Street Address:
City:
State:
Zip:
Day Phone:
Evening Phone:
Fax:
Email:
Web Site:
Dues/# Employees	(Two part-time employees = one full-time.)
Voluntary Contribution:	Please specify the use of your contribution:
Gift Certificate Program:	(optional)
Total:
Payment:	Credit Card Please Bill Me
Credit Card Information:	Visa Mastercard N/A Card #: Exp:

Ellensburg Chamber of Commerce
609 North Main Street
Ellensburg WA 98926
(888) 925-2204, (509) 925-3138, info@ellensburg-chamber.com

Site by Goeben Design http://www.goeben.com