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Annual Membership Application / Scott City Area Chamber of Commerce
1508 Main Street, Scott City, MO 63780
www.ScottCityMoChamber.org
** There will be a 3% service fee added onto memberships paid with a credit card.
** You will receive an email with an invoice for payment after your form has been received.
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Member Name:
*
Your answer
Business Name:
*
Your answer
Address:
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Your answer
City, State, Zip:
*
Your answer
Phone:
*
Your answer
Email:
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Your answer
Business Type:
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Your answer
Year Business Established:
Your answer
Local Contact:
*
Your answer
Additional Contact persons & email:
Your answer
Membership Level
*
Gold - $600.00/yr (2 voting members, large logo ad on website & emails sent out to members, window decal)
Silver - $300.00/yr (2 voting members, medium logo ad on website & emails sent out to members, window decal)
Bronze - $200.00/yr (1 voting member, business listed on emails sent out to members, window decal)
Basic Membership - more than 25 employees - $150.00/yr (1 voting member & window decal)
Basic Membership - less than 25 employees - $100.00/yr (1 voting member & window decal)
Basic Membership - Non-Profit / Not-for-Profit Organization Membership - $50.00 (Must be approved by Chamber Board.)
Basic Membership - Individual Membership (Non-Business) - $50.00 (Must be approved by Chamber Board.)
How would you like to pay?
*
By Cash or Check through the mail - No invoice needed.
By Cash or Check through the mail, Please send me an invoice.
By Credit Card (An invoice will be emailed to you after we receive your application - 3% fee will be added to the total.)
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