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Chamber of Commerce
Membership Application
Membership Application
2011 Membership Investment Schedule & Application (Print Version)
Business Information
Business Name
Physical Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Outside US
Zipcode
Mailing Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Outside US
Zipcode
Type of Business
Accountants/Accounting
Advertising Agencies
Air Conditioning & Heating Systems
Alterations
Animal Boarding
Animal Care & Services
Animal Grooming
Antiques & Collectibles
Apartment / Rental Services
Appliance Services
Architectural Services
Art & Craft Supplies
Art Gallery, Dealers/Consultants
Artists & Sculptors
Asphalt & Asphalt Products
Assisted Living
Attorneys/Law Firms
Attractions
Auctioneers
Audio Visual Equipment & Services
Auto Body Repair & Paint
Auto Dealers - New
Auto Dealers - Used
Auto Parts & Supplies
Auto Rentals
Auto Repair & Service
Auto Towing
Bakeries
Banks
Banquet Facilities & Rental
Banquet/Wedding Services
Barbers
Beauty Salons
Beauty Supplies
Bed & Breakfast
Beer & Ale-Wholesale
Beverage Dist & Bottlers
Beverage Sales & Distribution
Biomedical Technology
Blinds Cleaning Services
Blood Donation
Book Stores
Bookkeeping Services
Bourbon
Bridal Consultant
Builders, Construction & Materials
Business & Trade Organizations
Business Brokerage
Business Communications Services
Business Developement
Business Equipment & Services
Business Services
Cabinetry Sales & Services
Cable/Satellite Television Service Providers
Campgrounds
Candle Manufacturing
Candy & Confections
Car Washing & Polishing
Carpenters
Carpentry Services
Carpet/Rugs Sales & Services
Cash & Check Advances
Catering
Cellular Telephone Equipment & Services
Cemeteries
Chair Caning
Chamber of Commerce & Tourism
Child Advocacy
Childcare/Daycare/Education Center
Children & Teens
Children's Accessories
Chiropractors
Churches/Ministry Services
Cigar
Civic Clubs & Organizations
Clinics
Clothing
Clubs
Commercial Lending
Communication Cellular / Wireless
Community Services
Computer Repair/Networking
Computer Repair/Supplies/Services
Computer Training
Concessions
Conservation/Land Management
Consignment Shop
Construction
Consulting Services
Convenient Stores/Gas Stations
Copy Services
Credit Unions
Day Care Center
Dentists
Dining/Restaurants/Fast Food
Disaster & Emergency Services
Document Handling/Shredding
Dry Cleaners
Early Childhood Education
Economic Development
Education
Electric Contractors, Supplies & Services
Embroidery & Screen Printing
Employment Services
Engineers - Civil & Consulting
Engraving
Entertainment Services
Environmental Consulting Services
Environmental Services
Equine Advertising
Equine Nutritional Supplements
Equine Services and Sales
Equipment - Sales & Rental
Event Planners
Excavation Services
Family Fun
Family Services
Farmers Market
Farming Supplies
Financial Investment Services
Financial Services
Firearms & Accessories
Florists
Food
Formal Wear
Framing
Funeral Services & Memorials
Furniture Repair
Furniture Restoration
Garage Door Services
Garden Services
General Contractors
Gift Baskets
Gift Shop
Government
Graphic Design
Greeting Card Services
Grocers
Handbags
Hardware & Tools
Harness/Saddlery, Leather Goods & Accessories
Health & Fitness
Health Services
Healthcare Equipment and Supplies
Healthcare Services
Heating & Air Conditioning Services
Historic Sites
Home Cleaning Services
Home Decor & Interior Design
Home Healthcare Services
Home Improvement
Home Inspections
Horse Farm Tours
Horse Farms
Horse Riding Lessons
Horse Transportation
Hospitals
Hotel/Motel
Housewares
Individual Members
Industry Manufacturing
Insurance
Jewelry - Design & Repair
Laboratory & Diagnostics Services
Ladies Boutique
Land Surveyors
Landscaping Services
Landscaping-Lawn-Garden Services
Lawn Services
Leather
Legislative Officials
Libraries
Life Coaching
Liquor Sales
Loans
Local Government
Locksmiths
Machine/Tool & Die
Management & Consulting
Manicurists & Pedicurists
Manufacturing
Manufacturing Consulting
Market Research
Marketing & Advertising
Marketing Strategies Services
Massage Therapy
Media Communication
Medical Research Labs
Mental Health
Mortgage & Lending
Movies & Film
Moving Services
Museums
Music
Networking Business Marketing
New Chamber Members
Office Supplies & Equipment
Office Supplies & Services
Oil and Gas
Optometrists
Orchards - Farms
Organization Services
Orthodontists
Outdoor Power Equipment Sales & Services
Paint & Supplies
Painters
Parks/Recreation
Party Rentals
Party Supplies
Paving Contractors
Payroll Services
Pest Control
Pets, Pet Food & Supplies
Pharmacy & Compounding Labs
Philanthropy
Photographers
Physical Therapy
Physicians/Medical Services
Plastic Surgeons
Playground Equipment & Installation
Plumbing
Podiatrist
Postal Services
Pottery
Printing - Publishing Sales & Services
Produce
Psychiatric Facilities
Radio Stations
Railroad/Trains
Real Estate - Rental
Real Estate Appraisal
Realtors - Real Estate Sales
Recreation & Sports
Rehabilitation Facilities
Rental Facilities
Retail Shopping
Roof Contractors
Sales
Security Services
Senior Services & Support
Sewing and Alterations
Shipping & Transportation
Signage
Signs and Grpahics
Small Business Development Opportunities
Solid Waste / Recycling
Sports - Boating
Sports - Horse Racing
Storage
Tack & Supplies
Theater
Tobacco Sales
Tour Operators
Travel Agent
Tree Services
Trophies, Plaques, & Awards
Tuxedo Rentals
Upholstery
Utilities - Electric
Utilities - Gas
Utilities - Telephone
Utilities - Water & Sewage
Vacuum Supplies & Repair Services
Veterinary Medicine
Video Security
Water Treatment
Web Services - Internet Services
Wedding Planner
Wedding Supplies
Wildlife/Nature
Window Supplier
Window Tinting
Window Treatments /Shade Services
Wine - Vineyards
Wireless Communications
Women's Accessories
Woodworking
Membership Investment
Individual/Family $75
Non-Profit Organizations / Churches / Civic Clubs $75
Government Officials & Offices$100
Government Agency +1 Additional Rep $100
Business and Retail Services 1-10 employees $125
Business and Retail Services 11-20 employees $200
Business and Retail Services 21-50 employees $275
Business and Retail Services 51-100 employees $350
Business and Retail Services 100+ employess $500
Professional Services ( Attorneys Acountants Real Estate Insurance ) $200
Financial Institutions / Credit Unions $750
Lodging / Hotels / Motels / B&B $250
Utility Service Providers $1250
Real Estate Companies/Brokers $250
Each Agent* $100
Associate Members* $100
Number of Employees
:
Full-Time
Part-Time
Contact Information
Telephone
Fax
Email Address
Website
Primary Contact
First Name
Last Name
Title
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Outside US
Zipcode
Secondary Contact
Name
Address
City
State
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Outside US
Zipcode
Credit Card Information
Credit Card Type
Mastercard
Visa
Discover
Amex
Credit Card Number:
Name On Card
Security Code
Valid Through
01
02
03
04
05
06
07
08
09
10
11
12
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Use Address Above
Credit Card Address 1
Credit Card City
Credit Card State
AK
AL
AR
AZ
CA
CO
CT
DE
DC
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WV
WI
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Outside US
Credit Card Zip
Credit Card Country
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