Chamber Application

Business Name:

Business Address:

City/Zip:

Full-time employees:      Part-time employees: 

Telephone:       Fax: 

Email:

Website: 

Main contact:

Position:      Nic name:

Business Category (how your business will be listed in the business directory):

Business description(Very brief):

Would you like your email published in the business directory, if no do not check

List any other contacts with email addresses:

Billing information if different:

Please contact the Chamber for your membership investment amount.  There is a one-time $30 administration fee that will be added to your investment.

Total due:  Payment type: CheckMC/VISA (please call with your number)

If paying by credit card (MC/VISA), please call with that number 781-235-2446

Please mail checks to: Wellesley Chamber of Commerce, One Hollis St., Suite 232, Wellesley, MA  02482