CRENSHAW CHAMBER OF COMMERCE
MEMBERSHIP APPLICATION

Date:_______________________________________ 

Please check one:
_____New Member                            _____Renewing Member

16 Employees . . . . . . . . . . . . . . . . . . . . . . . . . .$510.00
7-15 Employees . . . . . . . . . . . . . . . . . . . . . . . . $410.00
3-6 Employees . . . . . . . . . . . . . . . . . . . . . . . . . $310.00
1-2 Employees . . . . . . . . . . . . . . . . . . . . . . . . . $210.00
Personal/Home Based . . . . . . . . . . . . . . . . . . . .$110.00
Students/Seniors . . . . . . . . . . . . . . . . . . . . . . . . $50.00

Membership Information

Name:_________________________________________

Company:______________________________________

Address:_______________________________________

City:_____________________State:_______ Zip:______

Bus. Phone:_____________________________________

Fax:___________________________________________

Cell:___________________________________________

E-mail Address:__________________________________

Web Address:____________________________________

Type of Business:_________________________________

                              
Check type of membership:

_____Senior    _____Personal/Home-based    _____Business

Check Payment Method:

_____Check enclosed    

_____Money Order enclosed

Please Mail to:

Crenshaw Chamber of Commerce
POST OFFICE BOX 8193
Los Angeles, CA 90008

Thank You in Advance for your Membership in The Crenshaw Chamber of Commerce

Please fill out a membership application. [ Memebership Application ] PDF Download