Print, fill out & Send application and check to:
Palouse Regional Holistic Chamber of Commerce, 627 N.
Hayes, St. Moscow, ID 83843
Application for Membership to the Palouse Regional Holistic Chamber of
Commerce
Name of individual requesting membership
______________________________________________
Name of organization, business, non-profit
______________________________________________
Mailing address
___________________________________________________________________
City, State & Zip
___________________________________________________________________
Phone ____________________________________ Fax _____________________________
Email _____________________________________ Website __________________________
How did you learn of our organization
__________________________________________________
Brief description of your business/services
______________________________________________
_________________________________________________________________________________
Reasons for joining the chamber
______________________________________________________
_________________________________________________________________________________
Membership is open to all people committed to living a more holistic and
sustainable lifestyle. Applications will be reviewed and we reserve the right to
refuse applications.
Member responsibilities:
♦ participate in creating a holistic presence in our community
♦ contribute ideas and opinions to the chamber
♦ payment of membership dues $50/year
♦ help us form a bigger vision and purpose
♦ participate in chamber activities whenever you want!
I have read and agree to the responsibilities of membership.
Signature _______________________________________________ Date _________________