2023 Membership Application

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This application is for 2023 membership with Franklin County Chamber of Commerce

If you have any questions please reach out via email: fccocinfo@gmail.com

For more information please visit www.fcchamber.net

HELPING YOU MAKE THE MOST OF YOUR CHAMBER INVESTMENT

Email *

Company / Organization

Street Address

City / State / Zip

Mailing Address

City / State / Zip

Phone number

Opt-in for Text Messaging

Yes

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Service Website

Primary Contact

Cell Number

Payment type

Check (send to PO Box 211, Brookville IN 47012)

Please invoice

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Authorized Signature

Date

YYYY

Associate Membership

Please note that Part-time/ seasonal employees = 1/2 employee

Individual / Not for Profit / 1-4 Employees: $100

5-20 Employees: $200

21-50 Employees: $400

51+ Employees: $500

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Executive Membership (Membership with extra benefits)

+ an additional $250

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Benefits

For Associate Membership: Would you like to be included as a sponsor for Meet and Greet events? + an additional $100

Yes

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Submit

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