| Business Name |
|
| Number Employed |
|
| Primary Classification |
|
| Secondary Classification |
|
Contact Info |
| Main Contact |
|
| Contact Title |
|
| Email Address |
|
| Phone |
|
| Fax |
|
| Website |
|
About |
| Minority or Female Owned |
Yes
No
|
| If Yes, please select |
Female
African-American
Asian
Hispanic
Other
|
Business Address |
| Address |
|
| City |
|
| State |
|
| Zip |
|
Billing Address |
| Address |
|
| City |
|
| State |
|
| Zip |
|
Membership Level | Select One |
Schedule 1
Base $225 + Employee Investment (see chart below)
|
Automotive
Colleges, Schools & Universities
Construction
Finance Companies
Industry β Manufacturing, Processors, & Suppliers
Government
Hospitals
Insurance
Laundries & Dry Cleaners
News Media
Others ( Beauty, Florists, Funeral Homes, etc.)
Printers
Recreation β Attractions, Entertainment
Retailers
Service Stations
Utilities & Railroads
Wholesalers & Distributors
| 1 - 3 | Included in base fee |
| 4 β 50 | Base plus $3.00 for each |
| 51 β 100 | Base plus $2.85 for each |
| 101 β 150 | Base plus $2.50 for each |
| 151 β 200 | Base plus $2.25 for each |
| 201 β 250 | Base plus $2.00 for each |
| 251 β 300 | Base plus $1.50 for each |
| 301+ | Base plus $1.25for each |
|
|
Schedule 2 | Professional (physician, attorney)
1 professional & 2 employees covered under base
rate of $225, plus $20 per additional professional and
$3 for each staff
|
Number of Professionals
Number of Support Staff
|
|
|
Schedule 3 - Non-profits β Base $225.00
Churches, Civic Clubs, Charitable organizations |
No input required. |
|
Schedule 4
Apartments, Hotels/Motels β Base
$225.00 plus investment per unit:
Up to 15 Base plus $2.00 per unit
16 β 50 Base plus $1.75 per unit
Over 50 Base plus $1.50 per unit
|
|
|
|
Schedule 5 Real Estate β One agent & 2
employees covered under base rate of $225, plus $50
per agent and $3 per office staff |
Agents
Office Staff
|
|
Schedule 6
Financial - Base $225 plus
$25.00 per each $1-million in local assets.
A. Banks
B. Savings & Loans
C. Credit Unions.
D. Investment Counselors
|
Local Assets in Millions (example: 12)
|
|
|
Schedule 7 - Retired Persons - $75.00 | No input required.
|
|
|
Schedule 8 - Individuals - $105.00 |
No input required.
|
|
|
Schedule 9 - Small Business |
Investment for a second small business: If the first business
has less than 25 employees and is paying their fair share
and the second business has less than 10 employees, the
second business can join for $120.00 in perpetuity (as long
as the first business remains a member in good standing).
|
| Payment Method |
Check |
| Technology Fee |
Annual Charge β $25
|
| Promotion |
Please promote my business by sharing my email address |
| Agreement |
I understand the Chamber will communicate with me by electronic means. |
| Signature |
Your annual investment in the Chamber may be tax deductible as a business expense.
|
|
|
