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Basic Member Information:

Company Name

Individual Representative First Name

Individual Representative Last Name

Title

Number of Employees

Main category listing in Directory

Mailing Address

City

State

Zip

Physical Address (if different)

City

State

Zip

Preferred address for Directory/Website

Mailing AddressPhysical Address

Website address

E-Mail address

Phone

Cell

Fax

Referred by

What do you expect from your investment in the Uptown Chamber of Commerce? Check all that apply.

Access Business Opportunities
Create Visibility
Expand Networking Opportunities
Increase Revenue
Enhance Credibility & Business Identity
Learn the Best Business Practices
Community Involvement
Other

Determine your Membership Investment Level (* indicates voting rights)

Business Basic* (based on number of employees/agents)

Not-for-Profit* (based on number of employees/agents)

Trustee Level*

$1,700

Diamond Level*

$1,100

Emerald Level*

$550

Home-based Business*
no employees (single owner-occupational license required for discount)*

$150

Service Organization
(no employees - volunteer driven)

$100

Friend of the Uptown Chamber
offered to any individual who would like to be personally involved, including clergy, government employees or officials, an individual who is not engaged in a gainful occupation (i.e. retired) or any person elected by the Board for special service to the Chamber.

$100

A New Member application fee of $25.00 will automatically be added to your total.

Additional Representative's Name

Title

E-Mail Address

Phone

Fax

Additional Category:
A second category listing for your business in the membership directory. (i.e. Original listing - Accounting, additional listing - Tax Preparation)

$25

Prepaid Luncheon Package:
Member luncheons are held on the 3rd Wednesday of the month and are a great way to network and promote your business. Members are encouraged to bring business cards and brochures. Cost is $18 per month. Special Pre-pay $180 Eleven lunches (get one month free, Annual Installation dinner not included)

$180

Payment Options

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Credit Card Number

Name On Card
Security Code
Valid Through
	Use Address Above
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Email Address

Please click submit only one time. The transaction may take several seconds.

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