Cheshire Chamber of Commerce

MEMBER APPLICATION

Call the Chamber (203) 272-2345 for the current member investment schedule. Print, sign & mail application with payment by check or charge. We accept Visa, MasterCard & Discover.

Firm Name:
Address:
Type of Business:
Phone:
Fax:
E-mail:
Authorized Representative:
Web Site:
Date:
Number of Employees:
Interested in insurance?	Yes No
Sponsor: