Members First Registration Form

[Program Details] [Registration Form] [FAQs] [Members First Home]

Registration Form

Download and print this form in PDF format.

Yes, I would like to participate in The Chamber’s Members First program and provide savings to fellow Chamber members. I have read and agree to the Members First program details.

Company Name
Contact Person
Address Line 1
Address Line 2
City
State
Zip
Phone
E-mail (not published - for Chamber use only)
Web Address
Company and Discount Description (50 words or less)* *The Chamber reserves the right to edit listing content.
Instructions for Redeeming (List contact person, if applicable)
Requested Business Category
If "other," please enter proposed category here
Date
Offer Good Through (minimum 6 months from registration date)

	The Chamber of Commerce of St. Joseph County 401 E. Colfax Ave., Suite 310 South Bend, IN 46617 574.234.0051 FAX 574.289.0358 info@sjchamber.org
	© Copyright 2004 The Chamber of Commerce of St. Joseph County