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Membership Form

Information in red is required.

Name of Business:
Primary Contact/Title:
Address:
City: State: Zip:
Telephone:
Fax:
Email Address:
Web Site:
Type of Business:

 

Year Started:
Were you referred by a current member? Yes No
Member's Name:
Number of Employees:

The term “employee” includes both owners and employees. Two part-time employees equal one full-time employee. Part-time employees are those working 20 hrs/wk or less.

I prefer to receive Chamber information via e-mail or fax at the number given above.
If different than above, please e-mail me @
fax me @
No. of employees Dues
1-3 $200
4-6 $230
7-10 $275
11-25 $370
26-50 $480
51-100 $515
101-250 $680
251-500 $840
501-1000 $1260
1001+ $1575
Branch Offices $50 each
NATIONAL FINANCIAL INSTITUTIONS
$840.00 base dues, plus table above for the number of employees and branch offices (located within OP/RF)

OP/RF-BASED FINANCIAL INSTITUTIONS
$630.00 base dues, plus table above for the number of employees and branch offices (located within OP/RF)

OTHER OP/RF-based Colleges and Universities $630.00

Public Utilities $630.00

New businesses (less than one year) &
 Non-For-Profit organizations with 501(C) status: Save 20%

 

 

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