Greater Woodbury Chamber of Commerce
Membership Application
Full Name of Business: ______________________________________________
Type of Business: __________________________________________________
Complete Address: _________________________________________________
Phone Number: ____________________ Fax Number: _____________________
E-Mail Address: ____________________________________________________
Website: __________________________________________________________
Name & Titles of Officials: ___________________________________________
___________________________________________
Dues Structure:
Business, Industry, Organization
Employing over 50
$175.00
Business, Industry, Organization
Employing from 3 – 50
$125.00
One or Two People, Small Business
Or Professional
$100.00
Retired Persons or Interested Citizens
$35.00
Please complete the application. Make checks payable to: The Greater Woodbury
Chamber of Commerce and send to GWCC, P.O. Box 363, Woodbury, NJ 08096
VISA & Master Card are accepted. We need name and complete address of Card holder.
Name on Card: ______________________________________________________
Card Type: ____________________; Card Number: ________________________
Expiration Date:_______________; CSC #:______________
Today’s Date: _______________________