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Please accept our firm as a member of the Rancho Cucamonga Chamber of Commerce. The following information is for the Chamber's official records, membership directory and other promotional uses. Our payment is included. Membership Value Tiers/Mail in Form
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| Firm Name (DBA): |
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| Corporate Name: |
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| Type of Business: |
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| Phone No: |
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| Phone No 2: |
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| Fax No: |
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| Physical Address: |
| Street Address: |
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| City: |
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| State: |
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| Zip: |
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| Mailing Address: |
| Street Address: |
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| City: |
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| State: |
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| Zip: |
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| Country: |
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| Web Address: www. |
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| Contact (Owner/President/Manager): |
| First Name Last Name |
| Title: |
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| E-Mail Address: |
Req'd |
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| Contact (Main/Billing Rep): |
| First Name Last Name |
| Title: |
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| E-Mail Address: |
Req'd |
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| Contact (Marketing/Advertising Rep): |
| First Name Last Name |
| Title: |
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| E-Mail Address: |
Req'd |
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| No. of Full-Time Employees: |
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| Secondary Membership / Associate Business: Yes No |
| Annual Dues: |
(will be calculated based on Type of Business and Number of Employees) |
| Renewal? |
Yes No |
| Optional Information: |
| Membership Tier: Classic Bronze Silver Gold Platinum |
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Form Instructions - After you have filled in the information above, select a button above and an e-mail containing the above information will be sent to the Chamber. You will also be given an opportunity to pay with a secure transaction over the Internet (optional). Chamber membership fees are non-refundable.
The Rancho Cucamonga Chamber of Commerce
9047 Arrow Route, Suite 180
Rancho Cucamonga, CA 91730
Telephone: (909) 987-1012
Fax: (909) 987-5917
E-Mail: info@ranchochamber.org
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