Cornerstone Chamber of Commerce; St. Joseph, Benton Harbor, Michigan

38 Wall St., Benton Harbor, Michigan • 269-925-6100

Cornerstone Membership Application

Items marked in bold are required.
Firm/Company:
Executive:
Contact Person:
Mailing Address:
Street Address:
City:
State:
Zip:
E-mail:
Web Address:
Telephone:	()-
Fax:	()-
Product/Service Classification:
Number of Employees:
Year Established:
Contact Preference:
Who refererred you?
Are you a minority-owned or woman-owned business?	Yes No
If yes, are you certified?

I’m interested in learning more about the following Alliance for World-Class Communities organizations (check all that apply): Cornerstone Alliance Cornerstone Alliance Small Business Services Council For World-Class Communities Community Partnership for Lifelong Learning

I submit our application for full Chamber membership with all rights, privileges and benefits. Membership in the Cornerstone Chamber is annual and will automatically continue unless written cancellation is received. Renewal dates are twelve months on the calendar year from January through December.