Milpitas Chamber of Commerce - Membership Application

Milpitas Chamber of Commerce Membership Application

To join the Milpitas Chamber of Commerce, print out this Membership Application and mail it along with your check to:

Milpitas Chamber of Commerce
828 N. Hillview Drive
Milpitas, CA 95035-4544

Refer to the Investment Schedule for a listing of annual dues for Milpitas Chamber of Commerce membership.


Committee(S) I Am Interested In                      Date:___________

(Please Check):
Membership        ________           Installation Dinner     ________
Activities        ________           Government Affairs      ________
Seminars          ________           Business Experience Day ________
Membership Mixers ________           Membership Ambassadors  ________
Other             ________

Membership Application                         $_____________________

Firm ________________________________________________________________

Street Address ______________________________________________________

Mailing Address _____________________________________________________

City ______________________ St_________ Zip _________________________

Telephone ___________________________________________________________

    Good From 1 Year From Dates _____________________________________

    Signature _______________________________________________________

    Print Name (S) __________________________________________________

    Contact Person (If Different)____________________________________

    Additional Name(S)_______________________________________________

Year Established ____________________________________________________

Type Of Business ____________________________________________________

Number Of Employees _________________________________________________

Number Of Units _____________________________________________________
               (Apartments, Motels, Hotels,)
Fax _________________________________________________________________

To __________________________________________________________________
_____________________________________________________________________

Title _______________________________________________________________
E-Mail:______________________________________________________________
Web Site: http://________________________________________________

Standard Industry Classification
NAICS/SIC Number  _________________ 

Local Office ___ Branch Office ___

Enrolled By: ________________________________________________________
_____________________________________________________________________