MEMBERSHIP APPLICATION & SURVEY FORM

( ) NEW - ( ) RETURNING MEMBER- www.trinitycounty.com

Fee Schedule on Website: Check Payable to Trinity County Chamber of Commerce

Trinity County Chamber of Commerce

P.O. Box 517

Weaverville, CA 96093-0517
(530) 623-6101 - (800) - (800) 487-4648

Member Name (First, MI, Last)_____________________________________

Mailing Address:_________________________________________________

City: ______________________ State _______ ZIP ____________________

Phone(Home): (____) _____-________ Phone(Work): (____) _____-_______

E-mail: ________________________________________________________

Business Name __________________________________________________

Website:________________________________________________________

Address:________________________________________________________

City: ______________________ State _______ ZIP _____________________

Phone(Work): (____) _____-________ FAX Phone: (____) ______- _______


 
() Help with Newsletter Production () Help with Website Activities
() Work on Brochure/Packet Projects () Man Information Booth at Public Events
() Volunteer to man the Visitor Center () Help with secretarial work
() Help with meeting programs () Help prepare food for TCCofC functions
() Help with Community Grants () Help with Membership Drive"
() Help with Emergency Preparedness Projects () I would like to______________________
() I can display TCCofC information in my business () I would like to work on Relocation Packet Project

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