RIO RICO CHAMBER OF COMMERCE   MEMBERSHIP APPLICATION

NAME: _________________________________________________________________

 

COMPANY OR BUSINESS: ____________________________________________________

 

ADDRESS: ______________________________________________________________

 

CITY, STATE AND ZIP CODE: _______________________________________________

 

PHONE NUMBER:  _______________________ FAX:  ___________________________

 

E-MAIL:  ______________________________ WEBSITE:  ______________________

 

WOULD YOU BE INTERESTED IN A DIRECTOR’S POSITION ______OR A COMMITTEE: _______

 

PLEASE CIRCLE MEMBERSHIP CATEGORY THAT APPLIES TO YOU:

 

BUSINESS:

 

 1      EMPLOYEE    $100.00   2 – 5    EMPLOYEES   $150.00

 

6 – 10   EMPLOYEES   $200.00   11 – 20  EMPLOYEES   $300.00

 

21 OR MORE EMPLOYEES   $400.00  INDIVIDUAL MEMBER:    $100.00 (NO BUSINESS)

 

NON-PROFIT AND/OR SERVICE CLUBS  $ 50.00  (NO BUSINESS)

PLEASE ENCLOSE CHECK WITH APPLICATION TO YOUR SPONSOR, OR MAIL TO:

 

RIO RICO CHAMBER OF COMMERCE

1279 C WEST FRONTAGE ROAD

RIO RICO, AZ 85648

TELEPHONE: (520) 377-9336

 

APPLICANT’S SIGNATURE ___________________________________ DATE:  ________________________

 

DESIGNATED REPRESENTATIVE_____________________ SPONSOR’S NAME: ________________________

        

REVISED 4-25-2008