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, Events Administration, 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