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

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

Cornerstone Membership Application

If you prefer, you can download the Membership Application (PDF) and fax it to us at 269-925-4471.

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 Full Time Employees:
Number of Part Time 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 organizations:: Cornerstone Alliance Cornerstone Alliance Small Business Services

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.