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!
     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 the contribution to:

Roderick Harsh - Director, Route 66 Chamber of Commerce, 1200 N. Range Line Rd., Suite 202,, Joplin, MO. 64801 .....or better 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. A contribution may also be made to PayPal at visit66@yahoo.com or call us at 417-385-6966 for details.

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 to your website and a membership certificate.

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.


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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