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Metro
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Metro

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Greater Bakersfield Chamber

1725 Eye Street,
Bakersfield, CA 93301

PO Box 1947,
Bakersfield, CA 93303

(661) 327-4421

info@bakochamber.com

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Membership Application

$50.00 Administration Fee is applied to this order
Company Name*
Physical Address
Street Address Address Line 2 City State ZIP Code
Phone
Fax
Website
Business Category*
No. of Employees*
No. of Employees (over 100)*
Price: $2.00
Number of Full Time Employees
Number of Part Time Employees
Describe your business in 25 words or less.*
Administration Fee
Chairman's Circle
- Yes
Donate to PAC
Donate to PAC
Donate to Scholarship
Donate to Scholarship
Primary Representative*
Prefix First Last
Primary Representative Title*
Primary Representative Phone*
Primary Representative Mailing Address
Street Address Address Line 2 City State ZIP Code
Primary Representative Email
Chamber Mailing?
- Yes
Committee Interests
- Ambassador Committee
- Beautiful Bakersfield Committee
- Governmental Review Council
Additional Representative
Add Additional Representatives
Additional Representative 1
Prefix First Last
Additional Representative 1 Title
Additional Representative 1 Phone
Additional Representative 1 Email
Additional Representative 2
Prefix First Last
Additional Representative 2 Title
Additional Representative 2 Phone
Additional Representative 2 Email
Additional Representative 3
Prefix First Last
Additional Representative 3 Title
Additional Representative 3 Phone
Additional Representative 3 Email
Additional Representative 4
Prefix First Last
Additional Representative 4 Title
Additional Representative 4 Phone
Additional Representative 4 Email
Billing Information
Billing Address*
Street Address Address Line 2 City State ZIP Code
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00