Membership Application

The Cohase Chamber of Commerce is committed to fostering a vibrant economic climate by encouraging cooperation and communication among the region’s communities, while ensuring a high quality of life. We encourage you to join us. Together we are a powerful force for the economic well-being of this area.

Please submit this form and send payment to:
Cohase Chamber of Commerce, PO Box 35, Wells River, VT 05081-0035

If you prefer a printable version of the Membership Application, please click here.

Today's Date:

Your Name (required):

Your Title (required):

Business/Organization Name (required):

Business Physical Address

Address:

City:

State:

ZIP:

Business Mailing Address

Address:

City:

State:

ZIP:

Contact Details

Phone:

Fax:

Email:

Website:

Membership Type

NOTE: If you have opened a new business in the last year, or are the new owner of an existing (non-Chamber) business, FREE MEMBERSHIP is yours for the first year!

Description

Use of HTML is encouraged. This can include links to YouTube, promotional text, photos, etc. If you would like for us to meet with you to help prepare this content. Please indicate below.

 Yes, I would like help with my chamber listing.

Featured Image

Dimensions for this image are 299 x 203 pixels. This could be a logo or ad that you will be able to update at a later time. (Max upload size is 125kb)

Categories for Website Listing

Please check all that apply.