Application is hereby made for membership in the European Chamber of Commerce of SW-Florida. I agree to abide by its bylaws, support its objectives, and pay the applicable annual membership dues. I understand this application is subject to approval by the Board of Directors.

Fields marked with

are required.

Date of application
Business Name
Business Address
City/State/Zip
Billing Address
City/State/Zip
Business Telephone
Business Fax
800 Number
E-Mail
Web-Address
Contact name
Type of Business
County of Business
Category for Internet Page (please indicate only one)			Accommodations Attractions Banking/Finance Entertainment Health Care Others Professional Services Real Estate Restaurants Retail Transportation
Business language for Internet Page			English Français Español Deutsch Italiano
I certify that all information is true and correct
Sponsor
Membership Investment Information
>>	The European Chamber has three investment schedules:
1.)	Business: $100/ Annual
2.)	Individuals $50/ Annual
3.)	Students $10/ Annual
Membership Investment			$
Plus one time initiation fee ($ 25.00)			$
Total Investment			$
Payment Method			Check in US Funds
Memo
Make check payable and send to: European Chamber of Commerce of SW-Florida, Inc. 8951 Bonita Beach Road Suite 525, PMB 298 Bonita Springs, FL 34135
Fill in the form and click the "Submit"-Button one time.
For questions regarding this membership or application please contact: Phone: (941) 244-3164 E-Mail: info@european-chamber.org www.european-chamber.org