Business Name:

Year Established:

Website

http://

Title/ Position:

Email:

Brief Description of Business:

Total Number of Employees:

I was referred by:

Schedule of Annual Investment Fees:

The Skiatook Chamber of Commerce offers a tiered membership schedule. Please select the following that applies:

I understand the investment due with this application & subsequent annual investment will be payable on January 01 of the following year. The Chamber may depend on my annual investment until I terminate or modify this agreement in writing. I also understand that my membership is not effective until approved by the Chamber Board of Directors. Only applications that are accepted after October 01 will be honored for the following year.

E-Signature

Membership Application

SKIATOOK CHAMBER OF COMMERCE