Please fill in the MEMBERSHIP Form below. Fields marked with a ♦ are required
  
  Company♦                           
  Contact Person♦                     Title    
  Phone number of business♦       
  Fax number of business          
  Address of business♦            
  City♦                             State♦    Zip Code♦ 
  Company Web Site                
  Company E Mail                  
  Type of Service/Product♦        
  Year Formed♦                    
  Number of full time employees♦  
  Participate in gift cert prog   
  Who recommended the Chamber     
  Person submitting this info♦    
  (real name for ID)
  
   
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                            Number of Employees
 
 1-3   $150     21-30  $400     61-70   $700      Utilities        $500 Min
 4-6   $250     31-40  $450     71-80   $800      Not-for-Profit   $50/100 Min
 7-10  $300     41-50  $500     81-90   $900      Individual       $50 Min
 11-20 $350     50-60  $600     91-100  $1000

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