Cape Cod Chamber of Commerce Membership Application


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: _____________

Make check or money order payable to: Cape Cod Chamber of Commerce
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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