Membership Form

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Business or Individual Name Business name is required
Type of Business Type of business is required
Address Address is required
City City is required
State State is required
Zip Zip code is required
Phone Phone number is required
Fax
Owner Owner name(s) is required
Your Email Address Email is required and must be a valid email.
Website Address Must be a valid url (http://www.yoursite.com)
Description of your business to accompany your membership photo in local newspapers: Description is required
Image Verification:

Send any future membership dues to:
Red Bud Chamber of Commerce
PO Box 66
Red Bud, IL 62278

Annual Membership Dues:
Business - $50.00
Non-Business - $40.00