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Become a
Member of
The Greater Warsaw Chamber of Commerce
Please print and return the application form.
APPLICATION
FOR MEMBERSHIP
“The
purpose of this organization is to act as a lead agency for the
development
of
retail and service business…to act as advocates for business and community
interests;
provide
active support services and education for members and to promote a sense
of
community
and open exchange amongst all sectors of the area.”
Date
__________________
Name
of Business ____________________________________
Owner’s Name
____________________________________
Business
Address ____________________________________
Home
Address____________________________________
Phone
______________________ Fax____________________
Home Phone
______________________________________
Number
of Employees ________________________________
E-mail
____________________________________________
Type
of Business______________________________________ Website
__________________________________________
What
would you like the Chamber and/or the community to know about your
business?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
How
could the Chamber assist you in reaching your goals?
_____________________________________________________
________________________________________________________________________________________________________
Enclosed
is a check for the following membership (payable to Greater
Warsaw
Chamber of Commerce):
Individual
membership .......................................................
$25.00
Individual
business
...............................................................
$30.00
Small
Business (2-9 employees)............................................
$50.00
Medium
business (10-49 employees) ..................................
$75.00
Large
business (50 plus employees) ..................................
$200.00
This
membership is written for one year and is renewed each year subject to
written resignation prior to January billing
date.
___ I
am interested in obtaining health care insurance through the Chamber.
Please contact me.
Would
you like your business name shown on the Kiosk map? _______ Yes _______
No
I
am willing to serve on the Board of Directors, now or in the future.
_______ Yes _______ No
Will
you be expanding your business or hiring new employees this year? _______ Yes _______
No
Please
mail application with check to: Greater
Warsaw
Chamber of Commerce
P.O.
Box
221
Warsaw,
NY
14569
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