Member Information

Type of Membership:

     ____Industry                 ____Professional     ____Civic Individual

     ____Retail/Service       ____Non - Profit       ____Civic Couple

     ____Financial               ____Service Club/Organization

Name/Business/Organization_________________________________

Address:__________________________________________________

City:_____________________State:______________Zip:___________

Telephone:____________________Fax:_________________________

E-Mail:____________________Web:www________________________

Contact Person:____________________Phone:___________________

Alternate Contact Person:__________________Phone:_____________

Business Information:

Number of Full Time Employees:___________

Number of Part Time Employees:___________

 

Primary Type of Products/Service:

__________________________________________________________

__________________________________________________________

Would you say your business has grown, declined or stayed the same:

In the Past Year _____________________________________________

In the Past Five Years ________________________________________

In the Past Ten Years ________________________________________

Do you have plans to expand your business? ____________________

Do you offer an employee health insurance plan?_________________

Do you have a need for training courses?

_____Computer     _____OSHA Safety     _____Small Business Taxes

_____Marketing     _____Management     _____Business Planning

_____Other _________________________________________________

We would like for you to serve on a Chamber committee?___________

Our committees are:

_____Membership Develop.      _____Public Relations & Marketing

_____Business Development   _____Mom, Baseball & Apple Pie Festival

_____Annual Banquet                _____Home & Business Expo

_____Education Committee      _____Government Relations

                                          _____Finance Committee

Would you help with Chamber events? Yes__ No __

Would you consider sponsoring a Chamber Event? Yes__ No__

Would you consider so-sponsoring a Chamber Event? Yes__ No__

Additional Comments/Suggestions:

__________________________________________________________

__________________________________________________________

 

 

 Dues Structure

Revised - 11-10-06

1. Retail, Wholesale, Automotive, Service, Communications,

    Agriculture, Construction, Utilities, Restaurants & Hotels

                       Employees                     Dues

                               1-3                          $125.00

                               4-6                          $150.00

                              7-10                         $180.00

                             11-20                        $315.00

                             21-30                        $370.00

                             31-40                        $495.00

                          41-Over                      $625.00

2. Financial Institutions

                        1-20 Million Net Assets      $355.00

                       21-50 Million Net Assets     $575.00

                      51-Over Million Net Assets  $795.00

3. Industrial

                                     1-25                         $190.00

                                    26-50                         $275.00

                                    51-100                       $355.00

                                   101-300                      $625.00

                                   301-500                      $905.00

      4. Professional

                                   Per Professional       $125.00

          5. Non-Profit Club or Organization

$75.00

6. Civic

                        Single Person   $30.00   Couple  $45.00