44362 E. Main Street, east of Hwy 72.
Bouse Chamber of Commerce
P. O. Box 817
Bouse, AZ 85325-0817
928-851-2509
[email protected]
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| Print this form, fill it out and mail it or bring it into the chamber office with your check or money order. Do not mail cash. The chamber is behind the historic Assay Office / Bouse Museum at 44362 E. Main Street, east of Hwy 72. |
Bouse Chamber of Commerce Bouse, AZ 85325-0817 |
| Name_______________________________________ | Date__________________________ |
| Business Name_______________________________ | Business type__________________ |
| Mailing Address______________________________ | Home Address__________________ |
| City, State, Zip_______________________________ | Web site______________________ |
| Telephone___________________________________ | e-mail_________________________ |
| _____ Individual Annual Membership $10 | Chamber memberships are renewable annually and expire December 31. |
| _____ Business Annual Membership $25 * | |
| * Business membership includes a listing on the Bouse Chamber's Web site. | Keep a copy of this form for your records. Bouse Chamber of Commerce is a 501(c) (3) non-profit organization. |
| _____ Would you like to volunteer? Doing what?___ | ______________________________ |
form last updated
December 30, 2010