Membership  IPBRC logo
Beach grass and seagull

Application

IPBRC Adopt A Triangle

The undersigned hereby applies for membership in the Island Park Business and Residential Chamber, and agrees to abide by the constitution and by-laws of said organization which is primarily dedicated to promoting the best interest of its members and the community of Island Park, New York.

$50.00 MEMBERSHIP DUES

Please make a check mark next to each field that you would NOT like to be displayed on our website or other publication. Resident Applicants, we will only use your name unless checked

 

 

 

 

 

 

 

 

 

captcha

Please make checks payable to: Island Park Business & Residential Chamber.
Mail to:  233 Long Beach Road Island Park, NY 11558