The Chamber of Commerce is dedicated to the betterment of the town of Los Molinos, and the businesses therein.   We help improve and promote Los Molinos through the volunteer efforts of our members.   You can help us in our endeavors by becoming a member.   Whither you are a local citizen, a business owner in Los Molinos or any other nearby area, or someone who wants to help us, simply fill out this form, print it, and send it with your check for $40 to us.

Click to put a checkmark next to the fields you wish listed on the member’s page of the Chamber’s site.
Click to remove any checkmarks on the items you do not wish to be made public on our web site.

(Common fields for most businesses are already checked. Change any you wish.)
Your information will NOT be shared with any marketers!

Membership Form

Business or Individual Name(s):
Company Representative:
                                                                (If checked, this will be the contact person listed on the Chamber web site.)

Street Address
Address:
City:   St:   Zip:
      Mailing Address (If Different)
Address:
City:   St:   Zip:

Bus Ph:   Fax:   Cell:   Home:
Email:   Web Site:
                     YourEmail@YourISP.com                                               www.YourWebSite.com

Date Business Established:   Number of Employees:

Type & Description of Your Business: (If checked, this will be used in the "Members" area of the Chamber web site.)

What committees would you like to be involved in?:   (Check None, One, or Several.  Your choice!)
   Newsletter.
Harvest Festival.
Shad Derby.
Mixers.
Beautification.
Membership.
July 4th. Activities.
Mayor's Race.
Fireworks Sales.
Santa Visit.
Miss Los Molinos.
Installation Dinner.
Community Action.
Economic Development.
County Fair Booth.
Web Site.
      Other:
                                             Have an idea for a committee to do something to help our community?   Tell us here!
                                                                     (Be sure and check the "Other Box" if you do!)

What would you like to see the Chamber do in the community?: (Or any other comments welcome here.)


__________________________        ____________
                           Applicant's Signature                                                         Date



Click the above button to prepare this form for printing.
(The Form will open in a new window.)

After you click the above button, check the form for correctness.
If all is to your liking, simply click your browser's print button.
If you need to make a correction, close the window to return here.

Print, sign and mail this form, with your $40 check, to:

Los Molinos Chamber of Commerce
P.O. Box 334
Los Molinos, CA. 96055








           
       



Copyright ©   Los Molinos Chamber of Commerce.



Web site created by: J.R. Whipple & Associates   Hosted by: The SkyBeam