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Shattuck Chamber Membership Application
This is the Membership Application for individuals, organizations and businesses that would like to be a part the Shattuck Chamber of Commerce. Thank you in advance for your contribution and for investing in the Shattuck Community! You are making a difference and it is appreciated!
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* Indicates required question
Email
*
Your email
Business Name
*
Your answer
Representative Name
*
Your answer
Representative Title
*
Your answer
Physical Address
*
Your answer
Mailing Address
*
Your answer
Website
Your answer
Approx. how many employees do you have?
*
Your answer
Do you have a Facebook page for your business?
*
Yes
No
Business Phone Number
*
Your answer
Cell Phone Number
*
Your answer
Choose your Membership Level
*
Silver - $35.00/month or $420.00/year
Gold - $50.00/month or $600.00/year
Platinum - $1,500.00/year
PREMIER MEMBER - $2,000.00 and higher/year
Non-Profit - $150.00/year
Sr. Citizens - $75.00/year
Individual - $100.00/year
Requesting Complimentary Membership
Multiple Business Members Discount - inquire within
Payment Preference
Pay in Full
Monthly payments *small convenience fee
N/A
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