MEMBERSHIP APPLICATION

Address: ___________________________________________________________

___________________________________________________________________

___________________________________________________________________

Phone Number: ______________________ Fax Number: ____________________

Contact Person: _____________________________________________________

E-Mail and/or Website: _______________________________________________

Business SIC: ______________________________________________________

Description of Business: ______________________________________________

Would you be interested in advertising in our:   o Newsletter    -    o Directory

Any other information or comments: ____________________________________

__________________________________________________________________
 

Please mail completed application with $100.00 membership dues to:

Hillside Chamber of Commerce
P.O. Box 965
Hillside, N.J. 07205-0965