Chamber Membership Application
Required Field
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Choose one of the following types of memberships:
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Non-Profit Organizations $75.00
Individual/Sole Proprietor $150.00
2-5 Employees $250.00
6-15 Employees $300.00
16-25 Employees $500.00
Corporation (300+ employees) $1,200.00
Payment Frequency:
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Annual Payment
Quarterly Payment
Business Name:
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Contact Name:
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Title:
City:
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State:
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Zip:
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Business Category:
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Phone:
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Email:
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Fax:
Web Page:
Agreement:
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I understand memberships are non-refundable and non-transferable.
Agreement:
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I understand that if I am unable to pay the full fee at this time, I can make payments according to the Chamber payment plan.
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