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Membership Application

  1. Retro Logo PNG
  2. Billing Representative ( If Different)
  3. Membership Levels
  4. Non Profit Organization
  5. Business Level (1-10)
  6. Business Level (11-30)
  7. Business Level (31-100)
  8. Emerald Level*
  9. Diamond Level*
  10. Platinum Level*
  11. Payment is Attached
  12. Please Send Invoice
  13. Pay by PayPal Via Phone 575.623.5695
  14. Submit your payment to the: Roswell Chamber of Commerce 131 W. 2nd St. Roswell, NM 88201
  15. If you would like more information on the Emerald, Diamond and Platinum level membership, please contact the Roswell Chamber of Commerce.
  16. Leave This Blank:

  17. This field is not part of the form submission.