Membership Application – Richmond Area Chamber of Commerce

Company Name (required)

Address (required)

City (required)

State (required)

Zip (required)

Your Telephone (required)

Your Fax

Website (if available)

Your Email (required)

Contact Person (required)

Job Title

Type of Business

Number of Employees

Month/Year Business Opened

Membership Investment Level

[checkbox membership-level label_first "Associate membership $75 annually (for individuals and not-for-profit organizations only)" "Regular membership $250 annually" "Bronze membership $500 annually" "Silver membership $750 annually" "Gold membership $1,000 and up annually" id:membership-level]

Billing options for investments of $200 and up (please select one)

[checkbox billing-options label_first "Yearly" "Semi Annually" "Monthly" "Quarterly" id:billing-options]

Interests/Involvement - I would like to be involved in one or more of the following (check all that apply)

[checkbox involvement-level label_first "Education" "Communication" "Fundraisers" "American Celebration" "Ambassadorship" "Mushroom Festival" "Banquets" "Christmas Extravaganza" "After Hours" "Business Expo" "Marketing" "Membership" id:involvement-level]

Would your business be able to accept Chamber Gift Certificates as payment?

[checkbox gift-certificates label_first "Yes" "No" id:gift-certificates]

Would you impose any restrictions? If so, please explain

Authorized Signature (required)

Date

Make Payment for New or Renewing Membership

Core Values
Since a community’s fundamental existence rests upon the foundation of a healthy economy, our core values are:
~ Promoting community involvement
~ Creating an enjoyable experience for all
~ To offer resources to help promote business growth
~ Provide networking opportunities

Vision Statement
The Richmond Area Chamber of Commerce exists to help build the community, to grow business and to enhance the quality of life for all residents of Richmond and the surrounding areas.

Mission Statement
The Richmond Area Chamber of Commerce mission is to serve its members by focusing on business growth, tourism and member education.

Make Payment for New or Renewing Membership

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