Membership Application

Date:

Membership Classification:

For Profit: Membership investment is based on the number of
employees in member location (part-time employees are counted as half).
Home-Based Business: $125
Non-Profit 501(C)(3): $125
Public School District: $200
  Please make your check payable to the Holladay Chamber of Commerce. Thank You.
(Dues may be deductible as a business expense, please consult your tax professional.)

Company Information:

Company Name
*Name of Owner / Chief Executive
Name of Principal Representative
 Title
Mailing Address
Street Address
City, State, Zip Code (+4 if known)
*Phone
*E-mail
Website
Business License Number
Brief Description of Company and Services Offered
* Indicates required field.


You can also print this page and send it to:
PO Box 17263
Holladay Utah 84117

Parry's Office Supply

4705 S. Holladay Blvd.
801-278-4453