Member-to-Member Discount Card
Participating Merchant Enrollment Form
Items in
BLUE
are required.
Merchant/Business Name:
Address:
City:
Phone:
E-Mail:
Service/Discount Offered:
Number of Employees:
(Full-Time & Part-Time)
This agreement is entered into between the Greater Salem Chamber of Commerce and the above named merchant and/or business. Upon renewal of this program by the Greater Salem Chamber of Commerce, agreement may be renewed between both parties.
Greater Salem Chamber of Commerce
• 615 West Main Street • Salem, Illinois 62881
Ph: (618) 548-3010 • Fx: (618) 548-3014 •
E-Mail:
visitus@salemilchamber.com
Copyright © 1998-2004 Salem, Illinois Chamber of Commerce • All Rights Reserved •
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