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Chamber Online Registration Form
(Once you you have submitted this form you will be contacted)
Name of Business:
Type of Business:
Physical Address:
Mailing Address:
City:
State / Zip:
Phone
/ Fax:
Employees Count:
Full-Time
Part-Time:
Primary Contact Name:
Position:
Email Address:
Secondary Contact Name:
Position:
Email Address:
WebSite Address
1-5 Employees
(Two representatives receiving mail)
$175.00
6-25 Employees: Full-Time / Part-Time
(Two representatives receiving mail)
$250.00
26-50 Employees
(Two representatives receiving mail)
$350.00
51 or more Employess
(Two representatives receiving mail)
$600.00
Non Profit Organization
(Two representatives receiving mail)
$100.00
Individual Memberships
(Public employees, retirees, non-business only)
$100.00
Farmers
(Primary income source must come from farming)
$100.00