Amite City Chamber of Commerce
101 S.E. Central Ave, Amite, LA 70422
Phone/Fax: (985) - 748 -5537
E-mail: amitecoc@I-55.com

Join the Chamber

 

Name of Business

Name of Chamber Representative:

First: MI: Last:

Mailing Address:

P.O. Box: Street:

City: State: Zip Code:

Location:

Street:

City: State: Zip Code:

Date Business Started:

Type of Business:

 

Name of Owner/ Manager:

First: MI: Last:

Phone Number: Fax: E-mail:

Web site:

Membership Dues

Please check one:
$50.00
$75.00
$35.00
$35.00
$35.00

New Member

Renewal

 

By submitting this form you consent to being e-mailed and faxed regarding Chamber events and issues.

Your Name Title: Date:

 

Please print and mail check or money order to:

101 S.E. Central Ave.
Amite, LA 70422