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	P.O. Box 3440, Federal Way, WA 98063 31919 1st Ave S, Ste. 202, Federal Way, WA 98003 Ph: 253-838-2605 Fax: 253- 661-9050 Web Site: www.federalwaychamber.com Email: federalway@federalwaychamber.com
Membership Application

Business Information:

Company Name:

Referred by:

Contact:

Email:

Phone:

Fax:

Address:

Address2:

City:

State:

Zip:

Number of Employees:

Web Site:

Billing Information (if different):
Company Name:
Contact:	Email:
Address:
Address2:
City:	State:	Zip:

Annual Directory Information:
Free Listing Category:
Additional Listing Category (add $100):

Additional Information: We are interested in the following:
	Advertising opportunities exclusive to the Federal Way Chamber and its members.
	Chamber education programs: CIS of Federal Way and/or Advancing Leadership
	Safe Cities program
	My Company would like to offer a Member-to-Member discount. The discount is:

Payment Information:
I will pay online via the Chamber web store	I will stop by the Chamber and pay via check or credit card
I will call and pay via credit card	I would like someone to come by and pick up a check
Send me an Invoice

Signature:

I understand that this application is one step in the process and that
I am not a member until confirmation has been received by the Chamber.

I understand that by clicking this check box I am electronically signing this application.

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