Membership Form

Membership Application Form

First name
Middle name
Last name
Address
City
State
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Home phone
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E-mail
Birth date

Membership dues for new members are $50 per person. Members pay annual dues of $45 per person. These dues ensure membership in the U.S. Junior Chamber of Commerce and Junior Chamber International, as well as the local Burlington chapter, and entitle members to benefits thereof. If you need assistance with the Membership Fee, please contact us.

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