Chamber Building

Membership Application

Printable version (PDF)

Business
Contact person
Street address
City
State
ZIP
Business phone
Additional phone number
(number will not be published)
Fax
Web site
E-mail
Referred by
Business category
Membership level
(NON-VOTING)
Number of beds
Annual membership
One-time application fee
$25.00
Total
Credit card type
Card number
Expiration date
Month
Year
CVV code
Cardholder's first name
Cardholder's last name
Billing address same as above
Street address
City
State
ZIP code
Canton Chamber of Commerce • 45525 Hanford Rd., Canton MI 48187 • Phone 734.453.4040 • Fax 734.453.4503 • ©2013