Salem Chamber of Commerce - Membership Form

Please print the following membership form, fill it in and
fax to 978.745.3855 or mail to:
Salem Chamber of Commerce
265 Essex Street, Suite 101
Salem, MA 01970

Business Name
Business Address
City
State	Zip
Contact person
Phone
Fax
E-mail
Web Site Address
Business Category	_________________________________________
How did you find us?	_________________________________________
Questions or Comments:

Annual Fee:	Please Contact the Chamber for Rates
Type of Payment:	(circle one) Check Visa Master Card
Credit Card #:	_____________________________________________
Expiration Date:	_____________________________________________

Thank You For Your Interest in the Salem Chamber of Commerce
We will contact you promptly.