Please Print this form and mail to
DeWitt Chamber of Commerce
P.O. Box 366
DeWitt, AR 72042
Membership Application
DeWitt Chamber of Commerce
Name of Business:______________________________________________
Owner(s):______________________________________________________
Date Founded:__________________________________________________
Nature of Business:_____________________________________________
Mailing Address:________________________________________________
Physical Address:_______________________________________________
Phone:________________________________________________________
Fax:___________________________________________________________
Email:_________________________________________________________
Number of Employees:___________________________________________