Route 66 Chamber of Commerce Membership Application Form

Joining the Route 66 Chamber of Commerce is a great way to gain new business prospects, be an active, contributing part of the MOTHER ROAD community and promote your business.                               
Join your Route 66 Chamber of Commerce today, and with your support, watch great things happen!
Please select, copy and print-out this form, and mail with donation to:   
Route 66 Chamber of Commerce, 2316 Utica, Joplin, MO. 64801  or better yet,  select, copy & paste to an e-mail (visit66@yahoo.com), filling in the information. We will contact you shortly thereafter to confirm your membership. A contribution may also be made on PayPal  at visit66@yahoo.com or call us at 417-385-6966 for details.

Name (and/or Business Name)

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Mailing Address

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Street Address (If different from Mailing)

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City, State, Zip

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Telephone Number              Fax Number

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E-Mail Address

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Website Address

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Name for Membership Certificate:

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Your Printed Name

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Your Signature (type-in for online reply)

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New Membership Certificates will show the year that you became a member.

Business Membership Advertising in the Route 66 Chamber of Commerce is deductible as an ordinary and necessary business expense for website advertising. All business and organization members will receive promotional advertising in the chamber website as a part of their membership. We will contact you about this.

Please indicate the type of annual Membership you desire:  ____Business      ____Individual

If you are interested in becoming a Chamber Sponsor or Benefactor instead, please check here:______

We will provide by return mail, Chamber membership materials indicated on the "Join the Chamber" web page, and a receipt for your contribution.

Please tell us about your business:


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