Name of
Business:
Type
of Business:
Name
of Contact/Position:
Phone Number:
E-Mail:
Fax:
Web Page www:
Business Address:
City:
State:
ZIP:
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MEMBERSHIP
INVESTMENT SCHEDULE
Individual
Senior Citizen
$50.00
Individual and Non-profit
$100.00
Individuals
Under Company Associate Membership
$50.00

BUSINESS
INVESTMENT SCHEDULE:

1 - 2 employees $150.00
3 - 5 employees
$200.00
6 - 10
employees $285.00
11 - 25 employees $345.00
26 - 50 employees $460.00
51 - 99 employees
$600.00
100 -
250 $945.00
251 - 999 $1,150.00
1,000 - 2,000
$1,725.00
2,001 or more $3,000.00

(+ $15.00 Administrative fee - Applies first year only)
Payments for yearly memberships
may be made on a quarterly basis.
Memberships are for twelve
consecutive months, after joining the
Chamber.
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