Business/Individual Name:

Contact Name:

Title:

Street Address:

City: Zip:

Mailing Address:

City Zip:

Business Phone:

FAX Number:

E-mail:

Web Site:

Please give a brief summary describing yourself and/or your
business to be used in Chamberwaves newsletter.

Please provide us with a description of your business containing 15 words or less to be included with your business listing on our website (www.sausalito.org).

Please prove 5 KEY WORDS to be used as lookup criteria on our website. These will not show up on your listing but will be used to help people locate your business using the search function. An example of key words for a restaurant: dining, restaurant, seafood, gourmet, view.

Please check the names of committees that interest you:

Marketing & PR Committee
Membership Committee
Business Network Committee
Downtown Committee
Caledonia Neighborhood Committee
Civic Committee

Event Committees
Concierge Tour
Marin Technology Venture Forum
State of the City Dinner
Winter Holidays
Mixers
New Events
Co-Sponsored Events

Referred By:

Membership Dues $:
An Additional 40$ registration fee will be added to all new memberships.

Type of Business:

Number of Employees:

**Please Print This Form Out and Submit to Chamber via fax or mail.