Maumee Chamber of Commerce
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Membership Application
Name
*
Company
*
Nature of Business
Your Title
Street Address
*
Mailing Address (if different)
City
State
Zip
Phone
*
Fax
Email
Web Address
Do you want us to email lunch or event reminders?
Yes
No
Would you like to join a structured "Networking" group?
Yes
No
Who referred you to our Chamber?
Directory Description (100 words)
Tell us what you hope to get out of your Chamber membership
How would you prefer to receive your newsletter?
*
E-Mail
Postal Mail
Are you joining for insurance purposes?
*
Yes
No
Dues Structure
*
1 - 2 Full Time Employees ($150)
3 - 5 Full Time Employees ($165)
6 - 10 Full Time Employees ($195)
11 - 25 Full Time Employees ($265)
25+ Full Time Employees ($345)
Non- Profit Organization ($75)
Active Addl' Members ($45)
2 Part time employees = 1 Full time employee
Agreement
*
I accept the agreement below.
I understand that by submitting this form I will be invoiced for the above service. I also understand that my company's membership will not be activated until payment is received.
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Check our online member directory when doing business.