Grapeland Chamber of Commerce
Membership Application
PO Box 37
Grapeland TX 75844

Membership Name _________________________________________________

Contact Name _____________________________________________________

Phone ___________________________  FAX ____________________________

Email ____________________________________________________________

WEB Site _________________________________________________________

Mailing Address ____________________________________________________

City ______________________________ State ______  Zip ________________

Physical Address ___________________________________________________

City _____________________________ State _______ Zip _________________

Number of Employees _______________________________________________

Description of Business ______________________________________________

__________________________________________________________________

Type of Membership

[ ] Business

[ ] Nonprofit

[ ] Individual

$75

$35

$25

Make checks payable to "Grapeland Chamber of Commerce"