Business Name:
Address:
City, State, Zip:
Phone, Fax:
Home Page Address:
Email Address:
Type of Business:
Owner/Contact:
Title, No. of employees:
Who else in your organization should receive our mailings?
On which committee(s) would you like to serve?	Communication Executive Government Affairs & Service Program & Projects Land Use & Zoning Other
As a new Association member, is there a business you would recommend we contact for membership?
Phone:
Fax:
Print and mail to the address below

Amount ANNUAL DUES $50.00 Please send check payable to: Treasurer Springfield Township Chamber of Commerce PO Box 317762 Cincinnati, Ohio 45231