|
Northern Davidson County Chamber of Commerce PO Box 1485, Welcome NC 27374 Phone: 336.764-2099 * Cell-phone 336.813-3333 PRESIDENT: KEITH J. PIERCE:GRI MEMBERSHIP APPLICATION Membership dues are $ 120.00 Dues are renewed annually on January 1 st. Beginning April 1, dues will be prorated according to the month joined by anew member. Note: Membership will be activated upon receipt of this form and payment of annual dues. My business has ______ full-time employees . Business name: ___________________________________Contact Person: ___________________________________Title___________________________________ Street Address: __________________________________________________________________________ Mailing Address: _________________________________________________________________________ City: ___________________________ State:________________ Zip Code:_____________ Phone: __________________ Fax:________________ Business type: ______________________________ E-Mail:____________________________ Web Address: ________________________________________ We sometimes “spotlight” individual businesses in our monthly newsletters and other media. Please tell us a bit about yourself and your business: ______________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Business owners of two of more businesses The business with the most employees will be listed as the 1 st business and will pay full price. Owner willreceive ˝ price discount for any additional businesses. The 2 nd business’ dues will be based on the number ofemployees of the 2 nd business at ˝ price. (Membership application must be completed for each business.)I understand that membership will terminate within 60 (sixty) days after receipt of statement if dues are not paid. Signature of Contact Person: ___________________________Date:___________________________________ E-mail to info@NDChamber.biz
|
