Membership Application

Basic Form

Fill This Out First , Then Form Below Out

Annual Membership Rates:

Individual  Member         $40
Churches & Civic             $50   
1 to 5     employees        $75
6 to 15   employees        $85
16 to 30 employees        $100

31 or more employees $125*
*Plus $1 per person,

maximum $200


Membership Period-----January to December

Make checks payable to and mail to:

Liberty Chamber of Commerce
PO Box 986,   Liberty, NC 27298


Contact Us At:
336-622-4937
libertychamber@rtelco.net

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