MEMBERSHIP APPLICATION
Application Date: ____________________________ New:___________ Renewal:___________Application is hereby made for membership to the Rio Linda Elverta Chamber of Commerce by the undersigned firm, organization or individual. By this application, agreement is made to comply with the By-Laws by which the Rio Linda Elverta Chamber of Commerce conducts its business.FIRM NAME: _______________________________________________________________________________BUSINESS FORM: __Sole Proprietor __Partnership __Corporation __LLC __Individual __Organization __ Other(Please check one)BUSINESS ADDRESS: _______________________________________________________________________MAILING ADDRESS: _________________________________________________________________________OWNERS/OFFICERS:________________________________________________________________________DESIGNATED REPRESENTATIVE:_____________________________________________________________ PHONE: ___________________________________FAX;____________________________________________TYPE OF BUSINESS: ________________________________________________________________________E-MAIL ADDRESS: __________________________________________________________________________WEBSITE URL:_____________________________________________________________________________NUMBER OF EMPLOYEES FULL TIME: ____________________ PART-TIME: _____________________SIGNATURE: ___________________________________TITLE: ________________DATE:________________
Please consider an additional, voluntary contribution to support the expenses incurred by the Chamber for maintaining the office in the Sacramento Northern Depot/Visitors Center.ANNUAL MEMBERSHIP FEE SCHEDULE 1 to 5 Employees $50.00 (Also applies to Resident & Organization memberships)6 to 13 Employees $75.0014 or more Employees $150.00Referred by: ___________________________________________________________________
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