Midfield Area Chamber of Commerce P.O. Box 28789, Midfield, AL 35228  205-226-1221

"The Convenient City"

Please print and fill out this page, then mail with a check made out to: Midfield Area Chamber of Commerce P.O. Box 28789 Midfield, Alabama 35228

Name ________________________________       Phone _________________ Home Address ___________________________________________________ City ______________________________ State ______  ZIP _______________ Email __________________________ Web Site _________________________ Business _________________________________ Phone _________________ Business Address   _________________________________________________ City ______________________________  State ______  ZIP _______________ Email ____________________________ Web Site _______________________ Membership Category:  Business ($100)  _______________________________                                            Individual  ($50) _______________________________                                            Retired  ($25)_________________________________ Thank you for joining our Chamber.