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PIKEVILLE-BLEDSOE COUNTY |
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| ___________________________________________ | |||
| CHAMBER OF COMMERCE | |||
| ___________________________________________ | |||
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PLEASE DETACH LOWER PART AND RETURN WITH YOUR PAYMENT |
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| BUSINESS OR INDIVIDUAL MEMBERSHIP: | _____________________________________ | ||
| BUSINESS OR INDIVIDUAL NAME: | _____________________________________ | ||
| CONTACT PERSON: | _____________________________________ | ||
| ADDRESS: | _____________________________________ | ||
| TELEPHONE NUMBER: | _____________________________________ | ||
| EMAIL ADDRESS: |
_____________________________________ |
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| CALL 423-447-2791 FOR DUES AMOUNT : | _____________________________________ | ||
| WOULD YOU BE INTERESTED IN SERVING ON A COMMITTEE | |||
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YES | OR | NO |
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