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Fredericktown
Marquand
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Home
About
Events
Members
Join
Get Involved
Photos
City
Fredericktown
Marquand
Contact
Click Here for a Printable PDF Application
Madison County Chamber of Commerce Membership Application
Please enter all of the fields below and click "SUBMIT". Once your application is approved we will email you an invoice.
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Indicates required field
Company Name
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Contact Name
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First
Last
Address
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City
*
State
*
Zip Code
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Email
*
Phone Number
*
Fax Number
*
Website
*
Number of Employees
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Please list any other employees emails you would like to receive emails (newsletters, event reminders etc.)
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Business Categories (Select all that apply)
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Advertising & Media
Arts, Culture & Entertainment
Automotive, Aviation & Marine
Business & Professional Services
Communications
Computer, IT & Technology
Employment & Staffing
Family, Community & Non-Profit
Finance & Insurance
Government & Education
Health Care
Home & Garden
Industrial & Manufacturing
Lodging, Travel & Tourism
Personal Services & Care
Pets & Veterinary
Public Utilities & Environment
Real Estate & Construction
Restaurants, Food & Beverage
Shopping & Specialty Retail
Sports & Recreation
Other
Other Business Category (Please list)
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Year Business Established
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Business Description
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What do you expect to gain from membership?
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Submit