CHELMSFORD BUSINESS ASSOCIATION, INC.
(Business and Professional People for a Better Chelmsford)
10 SUMMER STREET  ·   CHELMSFORD, MA 01824
TEL (978) 250-3858  ·  FAX (978)-256-8706


APPLICATION FOR MEMBERSHIP

1. Complete this form; 2. Print it with your browser's print command; 3. Mail or fax to the CBA.

Dues are $125.00 per year
Checks may be made payable to the Chelmsford Business Association.

Business Name
Type of Business
Business Address
Business Telephone
Number of Years in Business
Your Name
Home Address
Home Telephone
Number of FULL TIME employees
Number of FULL TIME employees that are RESIDENTS OF CHELMSFORD
Number of PART TIME employees
Number of PART TIME employees that are RESIDENTS OF CHELMSFORD
TOTAL NUMBER OF EMPLOYEES
Who or what motivated you to join the Association?
Would you be interested in actively serving on the Board of Directors of the Chelmsford Business Association?
YES NO
Would you be interested in serving on one of the committees of the Chelmsford Business Association?
YES NO
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