CHAMBER

MEMBERSHIP APPLICATION

Billing Information

First Name:

Last Name:

Company Name:

Street Address:

City:

State:

Zip Code:

Principal Representative

Principal Representative:

First Name:

Last Name:

Title:

Email:

Additional representatives (to receive mailings, be listed in the Membership Directory, etc.)

Additional Representative:

First Name:

Last Name:

Title:

Email:

Additional Representative:

First Name:

Last Name:

Title:

Email:

Mailing Information

Mailing Address:

Mailing City:

Mailing Zip Code:

Mailing State:

Work Phone:

Home Phone:

Fax Number:

Email:

About Your Company

Home Page Address URL:

Year Business Established:

Number of Full-Time Equivalent Employees:

Business Classification(s) (as in Yellow Pages):

*First classification is free - $25.00 charge for each additional category

"How Much Can I Expect To Pay?".

Amount for additional business classifications purchased
($25 per each additional category):

Amount of Annual Investment

*Large Organizations: Pay according to above schedule, plus $2.00 per employee over 500, then $1.00 per employee over 1000.

Additional Payment for organizations over 500

Total:

An Additional Processing Fee of $50 will be added to your total.

*Membership dues in the Chamber of Commerce are deductible from Federal and State Income Tax Returns as an ordinary and necessary business expense.

*Membership is based on the number of FTE's (full time equivalent employees) on a scale determined by the Board of Directors. Your membership investment is payable in advance; membership automatically renews each year unless advanced notice of resignation is given.

Credit Card Information

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I understand that my application will not be processed until my payment has been received by the Chamber.

Eugene Area Chamber of Commerce
1401 Willamette Street
PO Box 1107
Eugene, OR 97401

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CHAMBER

MEMBERSHIP APPLICATION

Billing Information

Principal Representative

Additional representatives (to receive mailings, be listed in the Membership Directory, etc.)

Mailing Information

About Your Company

Credit Card Information

NAVIGATION