2014 MEMBERSHIP APPLICATION

Investment Schedule

 1–5 Employees (This includes self-employment) $315 6-15 Employees $415 16-30 Employees $525 31-50 Employees $635 51+ Employees $735 Schools/Utility/Government $425 Non-Profit Organization $215 Associate Member (Personal Listing under a Current Member Business) $150 Community Individuals (This does not include business promotion) $150

Address
Base the number of employees on a yearly average.
20 or less hours per week = Part-time : Two Part-Time = One Full-Time

Company Name

Contact Name

Address

City

State

Zip

Phone

Fax

E-Mail

Website

Type of Business

Employees: Full-time

Part-time

Payment Options

 Contact me by phone Credit Card Check Cash Visa MasterCard

Credit Card Number

Expiration Date

Name on Card

The information submitted here will appear in the Directory and on our Website. $35.00 of Annual Investment goes toward monthly “GET in the KNOW” newsletter. Membership automatically renews each year unless written advance notice of cancellation is given. Investments may be deductible from federal and state income tax returns as ordinary and necessary business expenses, not as charitable contributions. (Federal Tax I.D. # 41-6040778)

Why are you joining the Chamber?

 Business Advocacy Professional development programs, events and seminars Networking Opportunities Civic responsibility Marketing Tools Economic Development Promotion/Referral services Other (please specify)

Were you referred by anyone?  Yes No
If yes, whom?

Is there anyone you would like to refer to the Chamber?


May the Chamber contact your referral?  Yes No

Web Site Information

Business Description (200 characters, basic)

Hours of Operation Description (100 characters, basic)

Driving Directions (200 characters, basic)

Search Keywords (30 characters max per keyword, basic)

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