2021 (& Bonus 2022) Annual Membership Application Scott City Area Chamber of Commerce
1508 Main Street, Scott City, MO 63780
www.ScottCityMoChamber.org
**There will be a $3 service fee added onto memberships paid with a credit card.** You will receive an email with an invoice for payment after your form has been received.
* Required
Member Name:
*
Your answer
Business Name:
*
Your answer
Address:
*
Your answer
City, State, Zip:
*
Your answer
Phone:
*
Your answer
Fax:
Your answer
Email:
*
Your answer
Business Type:
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Your answer
Year Business Established:
Your answer
Local Contact:
*
Your answer
Additional Contact persons & email:
Your answer
Membership Level
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Gold - $600.00/yr (2 voting members, large logo ad on website & emails sent out to members, window decal)
Silver - $300.00/yr (2 voting members, medium logo ad on website & emails sent out to members, window decal)
Bronze - $200.00/yr (1 voting member, business listed on emails sent out to members, window decal)
Basic Membership - more than 25 employees - $150.00/yr (1 voting member & window decal)
Basic Membership - less than 25 employees - $100.00/yr (1 voting member & window decal)
Non-Business Membership - $50.00
How would you like to pay?
*
By Cash or Check at the next meeting
By Cash or Check through the mail
By Credit Card (*$3.00 fee will be applied)
Submit
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