Flippin Chamber of Commerce
P.O. Box 118
Flippin, AR 72634
870-453-8480

Date:

Annual Membership Dues and Fees

Please check the box that best describes the membership that you wish to purchase.

$25 Individual or Associate Membership
$50 Businesses with 1 to 4 employees
$100 Businesses with 5 or more employees
$100 Banks and Utilities


Name of organization:

1st Voter (Individual or Business):

2nd Voter (Bank, Business, or Utility):

Address:

Phone: Fax: Email:

Website address:

How do you prefer to receive notices?

Mail
Fax

Email

Email address:

Amount enclosed:

Date:

Please return to the Flippin Chamber of Commerce. You may email this completed application to us, mail it to the address above or drop it off at City Hall in Flippin. If you have questions, please call. Thank you for your membership and support.


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