Please fill out and submit our application:

Fields with * are required.
Firm Name*
Address*
P.O. Box
City*
State*
Zip*
Telephone*
Fax
Email*
 
Key Representative*
Title*
Name 2
Title 2
Name 3
Title 3
 
Type of Business*
 
No. of Employees  
Full Time*
Part Time*
 
Annual Investment
 
To the Board of Directors:
We accept the Chamber's invitation to membership and look forward to to working with you to insure a healthy economy, an even more pleasant place to live and an environment which will provide the maximum quality of life for the Middletown area.
 
Contacted By
 
Information provided will be used to establish basic business records on member firms.  Although membership information other than name, representatives, location and business type is confidential, the Chamber staff can best serve you by having accurate and complete information
 

12906 Shelbyville Road
Suite 250
Louisville, Ky. 40243
502-244-8086

judy@middletownchamber.com

©1999 - 2008 Louisville East-Middletown Chamber of Commerce