Candor Chamber of Commerce
P.O. BOX 32
Candor, New York 13743
Website: www.candorny.org
Email: candorchamber@yahoo.com

MEMBERSHIP APPLICATION
January - December $35 each year

Business Name:________________________________________

Official Representatives:_______________________________________

Street Address________________________________________________

City_______________ State____________ Zip Code__________________

Business Phone#___________________Fax#_______________________

Website Address (if Applicable___________________________________
Can we link to you website from Chamber website Yes_____ No_____ (Please Check One)
Type of Business:( ) Accommodations:(  ) Health Care (  ) Restaurant ( )Retail/Wholesales
(  ) Sales & Service (  ) Parks & Recreation: (  ) Animal Care: (  ) Farm: (  ) Manufacturer:
(  ) Other:___________________________________________________________
 
Number of Employees: (     ) Number of Years in Business: (       )

What are your Major Specialties? (What do you want to be known for?):

Services Offered: ( In 25 words or less, write a description of your business as if you were advertising in a newspaper. This information will be used for PR purpose by the media committee and for inclusion in brochure updates). ( Use back of application if necessary).  

Signature of Applicant:_______________________ Date:__________    
                 (If you have a Logo, please attach it to this application)______________
Office use Only                                                     Date of Action Taken:
Date and Signature of Receiving Party:                    Approved by Membership Committee:
    Secretary___________________________________     Approved by Chamber Board__________________
    Membership Chair:_________________________      Check Deposited by Treasurer:__________________
    PR Chairperson:____________________________      Application Notified of Decision:___________________