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In order to better serve our membership, it is important that we keep our information current. Thank you for taking the time to fill out the Business Profile. 

Business Name:
Business Address:
City:
 State:     
Zip Code:

Mailing Address
 (if different)
City:
State:
Zip Code:

Phone:
Fax:
Email:
Web Page URL:

Owner/CEO:
Contact Person:
Phone:
FAX:
E-mail:
Business Type:
Products and/or Services:
How many full time employees
How many part time employees:

Assets (Financial Institutions Only-Local Branch) $Million

Date Business established   Month:   Year:


Please provide the following billing contact information
(If different from above)

Name:

Address

City

State
Zip Code

Our business would like to be included on the chamber gift certificate list Yes    No  
(Chamber Gift Certificates are sold in various denominations and are redeemable at Chamber member businesses only.)


WE ARE INTERESTED IN RECEIVING EMAIL UPDATES/REMINDERS ETC.
YES    NO  

WE WOULD LIKE TO HOST A BUSINESS AFTER 5 IN 2008:
YES    NO   

I am interested in HEARING MORE ABOUT the following Chamber committees:
 Education
 Ambassador Club
 Christmas
Golf Outing
 Brew-Ha
 A Taste of Wine & Cheese
Name:


Clintonville Area Chamber of Commerce
18 S. Main Street   P.O. Box 56, Clintonville, WI 54929
715-823-4606 / FAX 715-823-7318
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