— MEMBERSHIP APPLICATION —

* Required Fields  

ANNUAL INVESTMENT SCHEDULE
July 2007 - June 2008
 
RETIRED
  Retired Persons Only $62.00
       
INDIVIDUAL
  Persons not associated with a business - Clergy, Education, Government Employees $88.00
       
MOTEL/HOTEL
  Base Investment $225.00
  PLUS $4.00 for ea. standard room
  PLUS $5.00 for ea. room w/lounge attached
       
GENERAL BUSINESS
  1-5  Employees $225.00
  6-10  Employees $318.00
  11-15  Employees $404.00
  16-20  Employees $499.00
  21-30  Employees $636.00
  31-45  Employees $770.00
  46-100  Employees $906.00
  PLUS $120.00 FOR EACH 50 EMPLOYEES
       
PROFESSIONAL
  Medical $232.00
  Dental $232.00
  Legal $232.00
  Realty $232.00
  CPA $232.00
  Insurance $232.00
  PLUS $90.00
PER LICENSED PROFESSIONAL ABOVE 1
       
EDUCATION (PRIVATE & PUBLIC SCHOOLS)
      $593.00
       
NON-PROFIT
  Organizational Groups $134.00
       
FINANCIAL INSTITUTIONS
  By Formula -- Please Ask
 
* Company Name
* Company Representative
* Title
* Street Address
Mailing Address
(if different from street address)
* City
* State
* Zip
* Telephone 1
Telephone 2
Fax
* Email
Web Site
Membership Category/Categories
* # of Full Time Employees
* # of Part Time Employees
Sponsor
Group/Committee Interest
Include my business in the
Chamber Dollar Program?
YES    NO
   
   
Annual Investment
(figure from chart to the right)
 $ <--------------------------- Please Calculate and Enter Total Investment
One-Time Administration Fee  $ 25.00 (will be automatically added to Annual Investment Amt)