Charlotte County
.............................Chamber of Commerce

...................................................................


from Southside Messenger


from 1976 parade


Museum of Charlotte County


from Truckers' Parade

CHARLOTTE COUNTY CHAMBER MEMBERSHIP APPLICATION

Please complete the following and mail to:
Charlotte County Chamber, P.O. Box 311
Charlotte Court House, VA 23923

Primary Contact Name__________________________Title________________

Type of Business___________________________________No. Employees____

Company Name___________________________________________________

911 Address____________________________________County____________

Mailing Address___________________________City____________________Zip______

Phone______________________ Fax_____________________

Email______________________ Website______________________________

CEO/President (if different from contact)_________________________________

Headquarters, Subsidiary_____________________________________________

I would be interested in the following organizational committees (optional):
____ Finance & Budget
____ Program & Objectives
____ Administrative
____ Membership Committee
____ Other______________________________

Attach check payable to: Charlotte County Chamber for annual investment -
Dues:
Individual or Non-Profit $50.00
1 to 5 employees $75.00
6 to 20 employees $125.00
20 & over $175.00