Fairfield Chamber of Commerce

Membership Application

Please complete and Submit the form below or print and mail the application (PDF File).

Note: All fields are required for this form. Please be careful to fill out each one.
Firm Name: *
Address:*
City:*
State:*
Zip:*
Owner:*
Contact/Manager:*
Business Number:*
Fax Number:*
Email:*
Website:*
Description of Business:*
Add a detailed description here.
Business Type:*
Employees:*	FT: PT:
Annual Investment: