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Membership Application

Welcome to the Milpitas Chamber!

 

Name of Firm or Company
Person that we contact for this Business
Additional contact person
What type of Business in your company.
Number of local offices
Number of employee in your company
Number of units in your business
Years in business
Number and Street address
Address to send correspondence to
Name of City business is in.
State Business in.
Zip Code
Phone number to contact you
Cell phone number will not be published
Fax number
Your E-mail account
URL for web site; Committee(s) that I am interested in (Check all that apply)
Name of person who referred you to join the Chamber
Select
Membership
Networking Mixers
Activities
Ambassador Program
Connection Club
Awards Banquet
Government Affairs
Seminars
Other