Membership Application

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Membership Application

Application Date: *

YYYY

Business Name (exactly as it should appear) *

Principal Representative *

Title *

Billing Representative *

Title *

Physical Address *

City *

State & Zip *

Mailing Address *

City *

State & Zip *

Phone *

Cell

Fax

Type of Business *

Hours of Operations

Number of Employees (Membership pricing based on number of employees or organization status) *

Individuals, Non-Profit, Churches $100

Utilities $750

Banks $1,000

1-10 employees $200

11-25 employees $300

26-50 employees $350

51-100 employees $450

101-250 employees $550

251-400 employees $650

401-500 employees $750

500+ employees $1,000

Website

Social Media Sites

Facebook

Instagram

Other:

Does your business accept Berrien Bucks?

Yes

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Membership in the Berrien County Chamber of Commerce enables all companies, through their member representative, to apply for active membership in any special group, council, task force, or other organization within the structure. I further understand that membership in the Berrien County Chamber of Commerce is subject to ratification and final approval by the Chamber’s Board of Directors.

The membership covered by this application shall be considered as renewed from calendar year to year unless notice is given in writing prior to the renewal date. Annual charges are to be paid in advance. Dues invoices will be issued in December of each year and will be due by January 31st of the membership year. Berrien County Chamber of Commerce membership dues may be tax-deductible as a business expense. Dues are not deductible as a charitable contribution for federal income tax purposes.

Acknowledgement (type your name)

Submit

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