Please fill in form, then print. Enclose a check for the appropriate amount and mail to:
Lake Palestine Area Chamber of Commerce · PO Box 1002 · Frankston, TX 75763 · 903.876.5310
| Annual Fees: | |
|---|---|
| $120.00 - Business and Non-Business Membership (fee includes link to your web site) |
|
| Info: | |
| Membership Name | |
| Email Address | |
| Website URL | |
| Contact Name: First | Last |
| Business Type | |
| Business Hours | Year Established |
| Mailing Address: | |
| Street or PO Box | |
| City | |
| State | Zip |
| Physical Address: | |
| Street | |
| City | |
| State | Zip |
| Phones: | |
| Home Phone | |
| Business Phone | |
| Cell Phone | |
| Fax Line | |
| Comments: | |
Your comments are appreciated and of great importance to the membership! |
|
| (Internal Use) |
|---|
| Type: Expires: db Updated: By: Amount Received: Date: |
Last Update: 9/25/2012