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Please Complete All Fields. Thank You

Firm Name  

State Zip
Contact Title

 

Medium

***ADULT SIZES

Website Adress

Number of Employees

Full Time

Part-Time or Temporary

Phone

Toll Free

Fax

E-mail

We want to know why you want to join the Chamber so that we can assist you in taking advantage of the benefits of Chamber membership. Please indicate your level of interest in each of the following activities by numbering them from 1 through 5. (1 indicates your highest priority and 5 indicates your lowest priority.)

Networking/Business Contacts      Advertising/Business Promotion
  Business Support Programs         Professional Development
  Local/State Government Affairs     Economic Development
Community Activities                     Tourism
  Chamber Organization                  Chamber Publications

This application is for Chamber membership commencing in      ____  with annual dues payable each year. By signing below, you agree to abide by the terms of the Chamber’s by-laws and all the rules and regulations that the Chamber may now or hereafter adopt. Return this completed application along with your check for the first year’s annual dues to Fortville/McCordsville Area Chamber of Commerce, P.O. Box 55, Fortville, IN 46040.

Annual Dues Schedule

            Full Member (1-10 employees)                       $60.00
            Full Member (11-25 employees)                     $84.00
            Full Member (26-50 employees)                     $120.00
            Full Member (50+ Employees)                       $168.00 + $3.60 per each over 51                                                                                                      (Maximum $300)
            Not-for-Profit Organizations                            $30.00

1-time application fee of $30

 

 

Submission is my electronic siginture