Chamber Members-----Programs
Check Level of Membership
_____GOLD $1,000 or more annually (if more than $1,000 please note) $ ______________
_____ $500 semi-annual
_____$250 quarterly
_____SILVER @ $500 annually
_____$250 semi-annual
_____$125 quarterly
_____BRONZE @ $300 annually
_____$150 semi-annual
_____$75.00 quarterly
_____STANDARD @ $150 annually
_____$75 semi-annual
_____$37.50 quarterly
_____ASSOCIATE @ $25 annually (Individual Memberships Only)
*All Levels Include Free Business Directory Listing
DATE: _________________________________________________________
CONTACT PERSON: _________________________________________________________
ADDRESS: _________________________________________________________
CITY: _________________________________________________________
STATE/ZIP CODE: _________________________________________________________
PHONE: _________________________________________________________
FAX:__________________________
e-mail: ________________________
Chamber Members-----Programs