Columbus Grove, Ohio

A public service from Wynn's Photography, 419-235-1196, swynn@watchtv.net
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 Copy this page, paste it into your word processor, print and mail with your membership dues of only $35.00 to
Membership, 1950 Begg Rd., Columbus Grove, OH 45830
                     Columbus Grove
           Area Chamber of Commerce

                                     P.O. Box 3, Columbus Grove, Ohio  45830

                    For more information contact Steve Wynn at
                                                         swynn@watchtv.net
                                                                       OR
                                                        419-235-1196


                                        
       Membership Application 
                                                      for
                        Columbus Grove Area Chamber of Commerce

                                 Membership is $35.00 per year
     New memberships in October, November or December are good through the end of the following year


                                     Please make checks payable to:
                                    The Columbus Grove Area Chamber of Commerce
                                                     Attention Memberships
                                                         1950 Begg Road
                                           Columbus Grove, Ohio   45830

Business Name___________________________________

Principal Business Contact____________________________

                                                         
Type of Business__________________________________

Business Address__________________________________

City______________________   State_______  Zip______

Mailing Address __________________________________

City______________________  State_______  Zip ______


Phone: _________________      Fax: _________________

Email Address ___________________________________
          Please Note:   Your email address will be used for the Chamber Newsletter and
                                                         Business and not given out to anyone without your permission.

Website Address _________________________________