Please print a copy of this form, complete, and submit to us by mail.
Business or Organization Name: ______________________________________________
Your Name: (Mr. Ms. etc.) ______________________________________________
Business Address: (For use online and in Business Directory)
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Business Phone: ___________________________________
Fax: ___________________________________________
Mailing Address: ___________________________________
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Other Phone/Info: ______________________________________________
E-Mail:___________________________________________________
Web Address: ______________________________________________
Business Category: (Health Care, Real Estate, Crafts, etc.)
For Directory and Website listing, you can select up to 3 categories free.
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Description of Business Activity:
Please limit to 20 descriptive words. .50 cents for additional words.
There is no need to repeat your business name or location.
This description will appear directly below your business name and address.
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Number of Employees: ______________________________
Business Entities (Corporation, LLC, Partnerships, etc.) should pay dues based on number of employees.
I would like to join the Chamber as a:
Business/Industry
- 1-4 Employees $50.00
- 5-8 Employees $90.00
- 9-14 Employees $105.00
- 15-25 Employees $135.00
- 26 + Employees $285.00
Professional
- (Lawyer, Doctor, Dentist, Vet, etc.) $100.00
- Real Estate $115.00
- Financial (Bank/Utitilty) $235.00
- Educational $135.00
- Non-Profit Organization/Club/Church:
> Small (less than 10 full time paid employees) $35.00
> Large (10 or more full time paid employees) $70.00 - Individual (Non-Business Listing) $25.00
In Addition I would like to purchase:
- Banner Ad on Chamber’s Website $30.00/month
Total Amount Due: ______________________________________________
Amount Enclosed: ______________________________________________
Today’s Date: ______________________________________________
Dues are not refundable! Please note that Chamber memberships automatically renew each January unless we are are notified otherwise. Memberships run from January through December. After July 1, dues are 1/2 for first time members only. Inquiries may be made by calling 828-689-9351. Or, e-mail the chamber at: info@madisoncounty-nc.com
Please mail your check, along with this application to:
Madison County Chamber of Commerce
PO Box 1085, Mars Hill, NC 28754