Join The Fern Creek Community Association & Chamber of Commerce

September 9 Luncheon Wildwood CC Hosts: FCHS ALumni Assoc & FC Jazzercise Speakers: Cnclmn Engel & Benson

Fern Creek Community Association & Chamber of Commerce
Online Membership Application

Our Online Membership Application involves these three steps ...

Filling out and submitting the online membership application (which is provided below).
Submitting your membership dues online using your American Express, Discover, Master Card or VISA credit card. We use PayPal as our online transaction provider. PayPal is used by over 60,000,000 people worldwide and is safe, secure and easy! You do not need to open a PayPal account to submit your membership dues online.
Once we have received your online membership application and your dues, we will contact you to confirm your membership.

If you wish to submit an application using a hand-written form and your personal or business check, which can be sent through regular postal mail, you may do so by following this link.

NOTES:

If your application is for a personal non-business, non-organization membership please select "Individual Members" for the Business Type.
If a selection in the Business Type drop-down box is not applicable to your membership application please select "Other" and then let us know what your type of busines is in the 'Comments' box.
* = required information to successfully submit your online membership application.
Dues for 'Individual Members' memberships are calculated after the 'Continue' button is clicked.

Today is:	08/20/2008
Your Business or Organization Membership Dues calculated for today will be:	$160.00
Your Membership Dues have been calculated as indicated to the right ------------->	Your business or organization membership fee has been calculated by pro-rating the remaining months of this year at $10 per month and then adding the full membership fee of $120.00 to that amount for next year.
Referred By:
Organization Name: *
Address:*
Address:
City:*
State:*
Zip Code: *
Telephone:* Format xxx-xxx-xxxx
Fax: Format xxx-xxx-xxxx
Email:
Web Site: Format http://www.yoursite.com
Business Type: * If you select 'Individual' as your membership type, otherwise you are an individual and not a business or organization, your dues will be re-calculated to reflect that selection on the next page.
Key Representative #1
Title of Key Rep #1
Key Representative #2
Title of Key Rep #2
Comments: