IT’S EASY TO JOIN
Simply fill out this application and instantly become connected to our network of member businesses and Chamber services.
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| Business Name |
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| Contact Person |
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| Title |
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| Mailing Address |
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| Mailing City |
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| Mailing Code |
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| Physical Address (optional) |
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| Physical City (optional) |
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| Physical Code (optional) |
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| Telephone |
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| Fax |
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| Email Address |
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| Website |
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| Chamber Directory Classification |
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Please indicate which applies to your Fair Share Membership Dues:
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| Businesses ~ 1-2 Employees |
$115.00 |
| Businesses ~ 3-5 Employees |
$130.00 |
| Businesses ~ 6-10 Employees |
$160.00 |
| Businesses ~ 10-20 Employees |
$200.00 |
| Businesses ~ 21-50 Employees |
$230.00 |
| Businesses ~ 51-75 Employees |
$330.00 |
| Businesses ~ 76-100 Employees |
$500.00 |
| Businesses ~ 100+ Employees |
$600.00 |
| Senior Citizen* |
$25.00 |
| Individual Citizen* |
$50.00 |
| Churches, Schools, Other Qualifying Organizations* |
$60.00 |
* non voting members |
description of your business/services
(up to 50 words for the website) |
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| $35 One Time Processing Fee |
New Member |
| Political Action Committee (optional donation) |
$ |
| TOTAL: |
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| Payment Type |
You may pay by cash check or credit card.
If you choose to pay by check please print your email confirmation and mail it to the chamber following the included instructions.
If you are paying by credit card you can either choose Visa or Master Card and enter your information. Or if you'd prefer select "Call in Credit Card" and call us with your credit card information.
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| Verification: please enter the text bellow |
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If you would prefer to use cash or call your credit card information in,
please contact the friendly staff at (209) 745-2529
Click on "Submit" to send the form.
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Member-Application
