Dear Members:To join or to renew your membership in our Chamber of Commerce from now through calendar year 2010, complete the form below and forward it with your check, payable to "Perth Amboy Chamber of Commerce", and Mail to: Perth Amboy Chamber of Commerce
P.O.Box 1910
Perth Amboy, NJ 08862If you have any questions, please call the Chamber office at (732) 442-7400. You may also pay your dues by major credit card by printing out and faxing the form below to (908)755-9300.
Contact Name:________________________________________
Telephone #_______________________________________
Fax #_____________________________________________
Email:____________________________________________
Name of Business:_________________________________
Type of Business:_________________________________
Address:__________________________________________
__________________________________________________
Amount Due:________________
If paying by credit card, complete this portion:*Note: Your credit card statement will be billed as "FirsTEAManagement" the Chamber's management firm. ______VISA ______MASTERCARD ______AMEX
Account Number:______________________________________Expiration Date:__________________ Zip Code ___________
Amount Charged______________ Signature of Cardholder_____________________________________
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