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Application for PQ Chamber Membership
Application to Join Perquimans Chamber of Commerce
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* Indicates required question
Email
*
Your email
Company Name or Individual
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Name of owners
*
Your answer
Website or facebook link
Your answer
Number of employees
Your answer
How would you like to pay your membership dues?
Yearly
Quarterly
Semi annual
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What is your membership status?
*
Business with 2 to 5 employees $180
Business with 6 to 15 employees $ 210
Business with 16 to 25 employees $300
Business with 26 to more employees $330
Bed and Breakfast 3 rooms or less $180
Bed and breakfast 4 or more rooms $220
Hotel or Motel less than 100 rooms $300
Hotel or motel over 100 rooms $400
Banks 1 to 5 employees $220
Banks 5 to 15 employees $275
Family owed restaurant $180
Franchise Restaurant $275
Nursing Homes $330
Physicians 1 to 5 employees $250
Physicians 6 and up employees $350
Individual membership $70
Vendor membership Free sign up on list no website coverage or facebook
Each Subsequent business listing (same owner) with 1-5 employees $90
Event venue
Yes
No
Clear selection
Vendor event sign up
Yes
No
Clear selection
Business hours
Your answer
Do you have any events coming up?
Yes
No
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Submit
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