Business or Company Name: 

_____________________________________________________________________

Full Address: 

_____________________________________________________________________


Ph: ________________________________   Fax: ___________________________


Website Address: ___________________________________________________________________


E-Mail Address: ____________________________________________________________________

	
	 - Please add my website to the Chamber website.  

 	 - Please add my E-mail address to the Chamber website.

	 - Please DO NOT add either my website and/or email address 

The Mason County Area Chamber of Commerce Website:
www.masoncountychamber.org

Number of Employees: ______   * 2006 dues amount: _______

	- Annual Investment Formuala posted online

Please make checks payable to:


Mason County Area Chamber of Commerce
305 Main Street
Point Pleasant, WV 25550

Thank you for your Support!