PIKEVILLE-BLEDSOE COUNTY
CHAMBER OF COMMERCE
PO BOX 205
PIKEVILLE, TN. 37367

 
RE: CHAMBER OF COMMERCE DUES FOR 2004
___________________________________________
 
CHAMBER OF COMMERCE DUES FOR 2004
$25.00 FOR AN INDIVIDUAL MEMBERSHIP
$50.00 FOR A BUSINESS MEMBERSHIP
___________________________________________
 

PLEASE DETACH LOWER PART AND RETURN WITH YOUR PAYMENT
 

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

BUSINESS OR INDIVIDUAL MEMBERSHIP:   _____________________________________
BUSINESS OR INDIVIDUAL NAME:   _____________________________________
CONTACT PERSON:   _____________________________________
ADDRESS:   _____________________________________
TELEPHONE NUMBER:   _____________________________________
EMAIL ADDRESS:

  _____________________________________
AMOUNT ENCLOSE:   _____________________________________
 
WOULD YOU BE INTERESTED IN SERVING ON A COMMITTEE

(circle)

 YES OR NO