Membership Application

Please complete the this form to begin the process of becoming a member of the Weatherford Chamber of Commerce.

Business/Listing Information: Business Name: Main Rep. at firm:   Title: Street Address:   City: State: Zip Code: Mailing Address: City: State: Zip Code: Phone #1: Phone #2: Fax Number: Date Business Established: Email Address: Web Address (URL): Business Type: No. of Employees: Additional mailings to be sent to:   Membership Levels/Billing Options: (Pick One - Click on each level for a description below) Business $190 Bronze $300 Silver $450 Gold $600 Platinum $1000   Annual Membership Dues: $ + $25 = Payment Option: Credit Card Select your credit card: Mastercard   Visa Credit card number: Expiration Date:   Committee Involvement: (Please check up to three) Diplomats Ambassadors Tourism Business Development   Governmental Affairs Education Committee Contact Me for more info. I have reviewed this information and agree that it is correct.