| Briefly describe
your business, including products and/or services
offered: |
|
| Form of organization:
|
Corporation
Partnership
Proprietorship
Franchise
Non-profit
LLC |
| Number of years
in business in Madison: |
|
| Other locations
of your business: |
|
| Other business
names used in the last five years: |
|
| List four Madison
customers or clients: |
|
| Other person involved
in operating the business besides yourself: |
|
| Briefly state
your reasons for applying for Chamber membership: |
|
| Membership Type: |
$175 (business)
$75 (non-profit)
$60 (individual, non-business) |
