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Membership form 08

Houston Chamber of Commerce

P.O. 940356

Houston, AK 99694

Office 907.232.1387

Membership Application 1/1/08-12/31/08

Type of Membership

________Business or Group $75. per year

________Individual or Couple $50. per year

________Seniors 60 or older $25. per year

________Other Non Profit or complimentary

Individual or Couple name_____________________________________________________

Business or group name_______________________________________________________

Type of business_____________________________________________________________

Owner or Manager name_______________________________________________________

Contact Person_______________________________________________________________

Mailing Address_______________________________________________________________

Physical Address _____________________________________________________________

New____ Renewal_____Telephone Number________________________________________

Fax#______________________________ email_____________________________________

____________________________________________________________________________

Roger Purcell President (907)373-1370

Robert Hall Vice President (907)232-8888

Nancy Sult Secretary (907) 232-1387

Charles Parker Treasurer (907)

Lance Wilson Vice President

Paul Zitko Media Director

Rosemary Burnett

Ruthie Blanchard