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Please fill out the form below, or
click here for a printable version.
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Would you be interested in scheduling an
appointment with the Executive Director, Carol Foreman?
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Company Name |
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Contact Person |
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Address |
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City |
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State |
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Zip |
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Phone Number |
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Fax Number |
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Email Address |
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Web Address |
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Number of Employees |
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Description of your business
product or service |
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Why did you join the chamber? |
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Did someone refer you to our
chamber? |
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If yes, who? |
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Membership Category
General Business:* |
1-5 employees
6-12 employees
13-24 employees
25-50 employees
51-100 employees
101-300 employees
301 or more employees |
$188
$293
$453
$475 + $6 per employee over 24
$731 + $4 per employee over 50
$1,024 + $3 per employee over 100
$1,882 + $2 per employee over 300 |
*Based on Full-Time
Employee Equivalency |
Special Investor:* |
Premier Level
Bronze Level
Silver Level
Gold Level
Platinum Level |
$275-499
$500-999
$1,000-3,499
$3,500-9,999
$10,000 + |
*To receive benefits
of a Special Investor, members must
fall into one of the five categories
based on their dues or make an
additional investment to reach the
desired level. |
Education: |
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1-100 students
101-300 students
301-500 students
501-1000 students
1001 or more students
Organizations/Service Clubs/Churches
Individual/Non-Business Member
City/Village
Utilities |
$79
$133
$266
$530
$796
$106
$72
$530
$1,034 |
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Name on Card*
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Card Number*
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Card expires
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