Bremen Area Chamber of Commerce

Post Office Box 45 – Bremen, Ohio 43107

Application for Membership

Date

Name of Business or Individual

Address of Business or Individual

Telephone Number and Email Address

Dues

Dues by class of membership — mark the class that applies
Amount	Mark your class	Class of membership
$150.00	Mark if Corporate	Corporate
$125.00	Mark if Government, one division	Government – One (1) Division
$ 75.00	Mark if Civic Group or Church	Civic Group/Church
$ 50.00	Mark if Small Business or Sole Proprietor	Small Business/Sole Proprietor
$ 25.00	Mark if Individual	Individual

Please make checks payable to Bremen Area Chamber of Commerce. Meetings are held at 12:00 noon on the fourth Thursday of each month at various locations.

We will email you to let you know where the meeting will be held. You need to let us know by noon the Friday before each meeting to make a reservation. If you make a reservation and are not able to attend, you are still responsible for the $8.00 lunch. Thank you for joining.

Nothing you type here is sent anywhere. Print the completed form, sign it if required, and mail it with your check.