Membership Application


Please click on SUBMIT at the end of the application.
After completing the form you will be asked to complete the process by submitting a secure on-line payment.

General
Business/Organization
Principle Representative
Title
Address Line 1
Address Line 2
City/State  
Zip

Contact
Area Code / Phone
Fax
Email
Web Site Address
(For urgent business issues and upcoming events you will be contacted via email.)
Tell us about your business
Home Based Business  Partnership  Corporation
Business Classification
(for Membership Directory)
Description of Business
Who Recommended you to the Chamber?
Why did you choose The Chamber? (Check all that apply)
Networking
Advertising
Community Involvement		 Legislative Interest
Ribbon Cutting
Other (explain)

Membership Investment Schedule

Number of Employees
1 - 5 $220.00
6 -10 $250.00
11 - 20 $300.00
21 - 30 $375.00
31 - 40 $400.00
41 - 50 $430.00
51 - 75 $520.00
76 - 100 $600.00
101 - 150 $770.00
151 - 200 $810.00
201 - 300 $875.00
301 - 500 $940.00
500+ $1200.00
House of Worship $125.00
(2 part-time employees equals one full-time)
Full Time
Part Time
Total
ADMINISTRATIVE FEE
(one time fee)		 $25.00
MEMBERSHIP INVESTMENT AMOUNT
TOTAL INVESTMENT AMOUNT
Each organization is allowed one voting representative.
Your Membership Investment may be tax-deductible as a regular business expense.