Ann Arbor Area Chamber of Commerce

Please fill in the following information, or print this form and fax it to the Chamber at 734.665.4191. Contact Robin Lawrence, accountant, at 734.214.0113 if you have any questions regarding membership. If mailing a check, please send to:

Membership dues in the Chamber may be tax deductible as an ordinary and necessary business expense. Dues paid are not a charitable tax deduction for federal income tax purposes.

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All fields marked with an asterisk (*) are mandatory.
Business Name *
Invoice #
Contact Name *
Email *
Dues *
Special Instructions
Payment Method *	VisaMastercardAmerican ExpressCall InCheck (print form)
Credit Card Name
Card Number
Expiration Date