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 the Route 66 Chamber of Commerce today, and with your support, watch great things happen!
     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!

Option 1: Please select, copy and print-out this form, and mail with a contribution to:
                Roderick Harsh - Director, Route 66 Chamber of Commerce, 1200 N. Range Line Rd., Suite 202,, Joplin,                  MO. 64801, and we will contact you.

Option 2:  Easier yet, select, copy & paste the application to an e-mail and send to visit66@yahoo.com after filling                     in the information. We will contact you shortly thereafter to confirm your membership. 

Option 3:  A contribution may also be made to PayPal using visit66@yahoo.com ,  or call us at 417-385-6966 for                       additional assistance.



Membership Types:   

Individual - A one-time contribution of $25. includes a Membership certificate.

On-the Route Business - A one-time contribution of $66. includes two large display ads with hot-links                                         directly to your website and a membership certificate will be in the mail.

Off-the-Route Business - A one-time contribution of $100. includes two large display ads with hot-links to your                           website and a membership certificate.


Member Application

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

_____________________________/____________________________
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:

__________________________________________________________
Your Printed Name

__________________________________________________________
Your Signature (type-in for online reply)

__________________________________________________________

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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