"Yes, I want the full benefits of Chamber membership"

__ Enclosed is my check for my first year’s investment in the Olive Hill Area Chamber of Commerce. Please make checks payable to OHACOC Type of Business: __________________	__ Please charge my first year’s investment to my __ Mastercard __ Visa _____________________________ Number _____________________________ Exp Date _____________________________ Card Holder
Business Name: ____________________________________ __________________ Number of Employees	Address: ____________________________________ ____________________________________
__________________ Telephone __________________ Fax __________________ E-mail __________________ Representative __________________ Alternate __________________ Referred by

Fax or mail this form with payment to:

Olive Hill Area Chamber of Commerce

P.O. Box 1570

Olive Hill, KY 41164

e-mail:

ohcoc@atcc.net