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Kathy Dahl at Shelter Insurance
  
 
Membership Application

Firm Name:
Contact Person:
Address:
City:
State:
Zip Code:
Type of Business:
Phone Number:
Web site:
E-mail:
Sponsor:


Calculate your investment according to the category which best describes your business, and return to the chamber office.

Membership Dues
For 1 employee... $175
For 2-5 employees... $200
For 6-10 employees... $230
For 11-17 employees... $285
For 18-24 employees... $330
For 25 employees... $370
plus $2.60 for each additional employee.


An administrative fee of $25 is
assessed to new or reinstated members.
Your Investment: + $25 =
Payment Method: Please bill our firm  *Credit Card
*Credit Card#:
Expiration Date:
Comments:
(if any)


Your investment is tax deductible as a business expense.
Billing for each year's investment is sent 30 days prior to date.
If for any reason you wish to cancel your membership,
you must notify the chamber office in writing 30 days prior to due date.

After processing you will be returned to our main page.


*NOTE: We are providing this membership application form online for your convenience, and it may be submitted to us from the web site if you choose to do so. This is a secure site. Therefore, you may feel confident in providing your credit card information in any online submissions. If you prefer, we can bill you.

To choose the billing option, on the line that says, "Payment Method" simply select the button that says, "Please bill our firm." (For your convenience, this is the default option.)

Alternatively, you may completely fill out the form online, print it, and send it to us via fax or US postal mail. If you opt for one of these methods, you may safely include your credit card information. OR you may include a check in your mailing envelope, along with the form. We are not equipped to take checks by fax.


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