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Member to Member Discount Form

If you wish to participate as a discounter in the Member-to-Member Discount Program please complete all information requested below and click on the "Submit" button.

YOU MUST BE A CHAMBER MEMBER TO PARTICIPATE AS EITHER A DISCOUNTER OR TO RECEIVE A DISCOUNT.

If you are not a Chamber Member, sign up for a membership.

Business(*)
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Address(*)
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City, State, Zip(*)
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Amount of Discount (% or $)(*)
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E-mail Address(*)
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Person Authorizing Discount(*)
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Phone Number(*)
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Discount will be offered on the following products/services:(*)
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(*)

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