Membership Investment Renewal Application
Business Name:______________________________________________
Business Lic. No:___________________________________________
Street Address:_____________________________________________
Mailing Address:____________________________________________
City, State, Zip:___________________________________________
Business E-Mail:____________________________________________
Personal E-Mail:____________________________________________
Web Site:___________________________________________________
Business Phone:_________________________
Cell Number:____________________________
Fax:____________________________________
Owner:__________________________________
Alt. Contact:___________________________
Would you like to schedule a Ribbon Cutting/Grand Opening/Mixer/ Business Spotlight Interview?
Yes________ No________
Signature:__________________________________________________
Date:_______________ Amount Paid:__________________________
Paid By: Check:________ Cash:__________ CC:___________
Please mail to the Dayton Area Chamber of Commerce, PO Box 2408, Dayton, NV 89403. Or bring to the office located in the Greater NV Credit Union during business hours: Wed., Thurs., & Fridays, 9:30 am to 2:30 pm. We can also process your payment online with our secure credit card service,
MerchantProcessor.com. Please call 775-246-7909 prior to coming to the office as our Executive Director is often out talking with local businesses, etc.