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Membership Application for ERCC
This form is to assist the Chamber in processing your request for membership.
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Business or Resident Name
Your answer
Type of Business
Your answer
License #
Your answer
Date Business Opened
Your answer
Business Website URL
www.
Your answer
E-mail
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Contact Name
Your answer
Address
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City
Your answer
State
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Zip
Your answer
Phone
Your answer
Membership Category
Annual fees are shown by category
Choose
Business Employing more than 10….$263.00 annually
Business Employing 4-9….$188.00 annually
Business Employing up to 3….$150.00 annually
Non-Profit Organization….$113.00 annually
Residential & Family….$98 annually
As a member, I would be interested in
Hosting or co-hosting a mixer
Assisting with Chamber events
Other (specify below)
Tell us about yourself and your business
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