Petersburg Chamber of Commerce - Membership Application

Please fill out and submit the following application form to become part of the Petersburg Chamber of Commerce.

You have 3 options for paying your membership fees.

Full payment of $125.00.
Partial payment of $62.50 with the second half due March 31st, 2010
Individual membership payment of $50.00.

You may either bring your membership fees to the first meeting or you may mail the fees to the following address:

Petersburg Chamber of Commerce
P.O. Box 452
Petersburg, IL 62675

Membership Application:

New Member

Returning Member

* Required Fields

* Business Name:

* Contact Person:

* Address:

* City:

* State:

* Zip Code:

* Telephone:

Website:

* Email Address:

* Type of Business/Product:

* Date Business Established:

Any special activities or events, anniversaries, etc., planned for 2010?
If so, please detail:

What do you expect from the Petersburg Chamber of Commerce?

I/we have an interest in helping the Chamber in the following area(s):
April Foolishness Committee
Harvest Fest Committee
Christmas in Petersburg Committee
Promotion/Recruitment
Serve as a Director of the Chamber