Membership Application

Jefferson Township Chamber of Commerce – Membership Application

For: 2016 / 2017 Membership dues.  Amount due: $150

Upon completion of the form you’ll be taken to the payment page where you can pay by credit card.

Please enter your company name. If your information is the same as last year please check the box and then scroll down and click submit. If your info has changed or you’re a new member please complete the whole form. Thanks for joining the chamber!

Info the same as last year? YesNo (complete form below)