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| SMACKOVER CHAMBER OF COMMERCE PO BOX 275 SMACKOVER, ARKANSAS 71762 Phone: 870-725-3521 SMACKOVERAR.COM Email: smkovrcofc@sbcglobal.net |
Date: _______________________
Annual Membership Dues for the Year 2011
Member Name: ___________________________________________________
Address: ________________________________________________________
________________________________________________________
Phone #: ________________________________________________________
Email: __________________________________________________________
________________________________________________________________
Indicate your selection below. Make any corrections needed to member
information above. Send this form along with your payment to:
Smackover Chamber of Commerce
PO Box 275
Smackover, AR 71762
Annual Membership Dues for the Year 2011
Member Name: ___________________________________________________
Address: ________________________________________________________
________________________________________________________
Phone #: ________________________________________________________
Email: __________________________________________________________
________________________________________________________________
Indicate your selection below. Make any corrections needed to member
information above. Send this form along with your payment to:
Smackover Chamber of Commerce
PO Box 275
Smackover, AR 71762
____ Individual Membership...................................$50.00 a year
____ Individual with Spouse....................................$75.00 a year
____ Business Membership.....................................$135.00 a year
+ $10.00 for every employee
Amount Paid ______________________
____ Individual with Spouse....................................$75.00 a year
____ Business Membership.....................................$135.00 a year
+ $10.00 for every employee
Amount Paid ______________________
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