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Member Profile

Date

MM

DD

YYYY

Business Name

Contact Name

Manager/Owner

Address/Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone

(###)

###

####

Fax

(###)

###

####

Email

Website

http://

Additional Email

Additional email's that you would like the QVCC newsletter sent to weekly.

Business Phone Directory

Dues to be paid by March 31st to be included in the directory.

What year did your business start?

Number of Full time employees?

Number of Part time employees?

Please describe in detail the services or products that your business provides.

Hours of Operation

Days and times.

Please send your company logo to the chamber email: qvcc@quincyvalley.org

Will do

I don't have a logo