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Weston Area Chamber of Commerce
1290 Weston Road, Suite 200
Ft. Lauderdale, Florida 33326
Telephone: (954) 389-0600
Fax: (954) 384-6133
Email: info@westonchamber.com

MEMBERSHIP APPLICATION

BUSINESS NAME:__________________________________________________
BUSINESS ADDRESS:______________________________________________
CITY:________________________________ ZIP CODE:___________________
REPRESENTATIVE:____________________ TITLE:______________________

  

ONLY ONE REPRESENTATIVE MAY BE LISTED PER MEMBERSHIP
(For Trustee membership, up to four representatives may be listed)

PHONE:__________________________ FAX:____________________________
EMAIL:______________________ WEB SITE:____________________________
NATURE OF BUSINESS:_____________________________________________
NUMBER OF EMPLOYEES:__________ DATE ESTABLISHED:_____________
SPONSORED BY:___________________________________________________

Membership: Select by placing an X to the left of your choice 

 

New Membership

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$175

Membership Only
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$275
 Enhanced Membership
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$525
 Corporate Membership
------ $3,500 Trustee Membership

Renew Membership

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$175

Renew Membership Only
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$275
 Renew Enhanced Membership
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$525
 Renew Corporate Membership
------ $3,500 Renew Trustee Membership

 

 

Mail Payment and Application to:
Weston Area Chamber of Commerce
1290 Weston Road, Suite 200
Ft. Lauderdale, Florida 33326

By submitting this form, member applicant agrees to all terms and conditions associated
with membership as described in the Terms of Use and Privacy Statement located at:
http://www.westonchamber.com/terms.asp
and
http://www.westonchamber.com/privacy.asp

The Weston Area Chamber of Commerce was created to promote and serve
Economic Development in Weston and Broward County

FOR OFFICE USE ONLY:
Date Paid:____________                                              Check#:________________
Accepted by WACC (date):______________       Membership #: _______________
COMMENTS __________________________________________________________
_________________________________________________________
_________________________________________________________