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Business Name: _____________________________________________________
Contact Name: ______________________________________________________
Mailing
Address:_____________________________________________________
Business Location Address:
____________________________________________
Telephone: ______________ Fax: _________________Email:
________________
Signature: ___________________________Sponsor: _______________________
Type of Business:
_____________________USCC Code (see rate card): ______
Membership Investment (see rate card):
$______ + 1 time set up fee of $15.00 = Total $______
Please charge my credit card: (circle one) MasterCard | Visa |
American Express
Name of
Cardholder:_________________________________________________________
Card Number: _________________________________Exp.
Date: _____________
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Make check or money order payable to: Cape Cod
Chamber of Commerce |
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Mail to:
PO Box 790
Hyannis, MA 02601 |
-OR- |
Fax to:
508-862-0727 |
Membership investment payments are deductible by members as
ordinary and necessary business expenses for Federal Income Tax purposes and are not
considered to be charitable contributions. A portion of the dues, however, is not
deductible as an ordinary and necessary business expense to the extent that the Cape Cod
Chamber of Commerce engages in state or federal lobbying. The non-deductible portion of
dues for 2003 is 5%. Membership is automatically renewed annually unless written
notice is received to terminate.
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