Membership Application

Alternate Representative 1
(include mailing address, phone, e-mail, and fax numbers if different from above)

Alternate Representative 2
(include mailing address, phone, e-mail, and fax numbers if different from above)

Please check only one business category in which you would like your company to be listed.

Please describe product or service, area of expertise, etc.

Do you do business on the Internet? Yes No
Would you like to? Yes No
Do you export a product or service? Yes No
Exported Product
Exported Service
Do you wish to put a link on the Chamber’s webpage? Yes No
Link

The Membership Investment Schedule is based on total number of employees. The total number of employees is calculated by adding the number of full-time employees to the half the number of part-time employees: Full-time + (Part-time ÷ 2)

Full-time Employees* Part-time Employees* Total Employees*

See the table below to determine your investment.

Invoice me
Once your application is submitted, the Chamber will invoice you for your dues investment. Your membership will be active once payment is received.

I'd like to be called and give my credit card information over the phone.

2. What is the most important benefit you expect to receive from your membership?

3. Committees on which you would like to receive more information? See Committee List in Membership Packet