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ยป Gerald Area Chamber of Commerce Membership Form
Gerald Area Chamber of Commerce Membership Form
Submitted by
admin
on September 21, 2012 - 11:56pm
Type of Membership
*
Non Business, Individual $25.00
Non Business, Churches, Civic Groups, Organizations $40.00
Business, 1-10 Employees $50.00
Business, 11-100 Employees $100.00
Business, Over 100 Employees $150.00
Business, Financial Institutions & Utilities $150.00
Select the type of membership for your company
Business or Individual Name
*
Name of the business you wish to join the Chamber
Type of Business
*
Enter the type of business you do.
Number of Employees
*
Enter the total number of employees for this business including the owner.
Representative Name
*
Enter the name of the business representative to the chamber.
Title
*
Enter the title of the representative named above.
Second Representative (if applicable)
Name a second representative to your membership.
Address
*
Enter your mailing address.
City
*
Enter your city.
State
*
Enter your state.
Zip Code
*
Enter your zip code
Office Phone
*
No dashes
Enter a contact phone number.
Fax Number
*
No dashes
Enter the business fax number
Cell Number
*
No dashes
Enter the business fax number.
Email Address
*
Enter your business email address.
Web Address
*
Enter your businesses web address.
Year Business Established
*
Enter the year the business was established.
Year You Acquired the Business
*
Year that you purchased the business.
Please compose your description below (25 words max.)
*
Enter brief description of your business. Please limit this to 25 words.
Meeting time
*
Noon
Evening
Choose the best time for you to attend meetings.
Commitee Interested In
*
Community Guide/Website
Beautification
Chamber Dinner
Christmas Decorating Contest
Business and Economic Development
Fund Raising Events
Street Fair
Choose the committees your interested in participating in.