BESSEMER CITY AREA CHAMBER OF COMMERCE
BESSEMER CITY AREA CHAMBER OF COMMERCE
201 W Washington Ave, PO Box 1342, Bessemer City, NC 28016
Phone: 704-629-3900 email: bsmrctychamber@
Visit our website at chamber_of_commerce.php
MEMBERSHIP APPLICATION
[pic] NEW MEMBER RENEWING MEMBER CITIZEN MEMBER/
Friend of the Chamber
BUSINESS/CITIZEN NAME ___________________________________________
PRIMARY CONTACT _____________________________________________ TITLE _____________
SECONDARY CONTACT _____________________________________________ TITLE _____________
PHYSICAL ADDRESS _____________________________________________
CITY ________________ STATE ________ ZIP CODE _________________
MAILING ADDRESS _____________________________________________
CITY ________________ STATE ________ ZIP CODE _________________
PHONE _____________________ FAX ___________________ EMAIL ____________________________
WEBSITE: ___________________________________________ Number of Employees _________
Membership Level is for twelve months and is at the rate described below. Please check the boxes that are applicable for the Membership level that is desired.
Individual, Retired (personal only, no business listing) $ 55.00 Friend of the Chamber $ _______
(contribution)
Churches, Non-Profit or Civic Organization $ 55.00
Business 1 - 5 Employees $138.00 6 – 10 Employees $165.00
11 – 20 Employees $220.00 21 - 50 Employees $330.00
51 – 100 Employees $440.00 101- or more Employees $550.00
Memberships started after 7/1/2012 are offered for 50% of the 12 month rate
Patron Sponsorship: $250.00 in addition to Membership Fee.
This sponsorship classification allows the Member/ Business one free ticket to each Chamber event and a Program listing showing the status as a PATRON SPONSOR.
Sustaining Sponsorship: $500.00 in addition to Membership Fee.
This sponsorship classification allows the Member/Business two free tickets to each Chamber event and a Program listing showing the status as a SUSTAINING SPONSOR.
CHECK ONE OF THE BOXES BELOW. WE THANK YOU FOR BECOMING A MEMBER OF THE BESSEMER CITY AREA CHAMBER!
Please find enclosed a check in the amount of $______________
My records indicate that I have already paid my current year membership of ________ on _________.
Please invoice me for the membership amount noted above.
_____________________________________ ____________ ______________
Authorizing Signature for Membership Title Date rev. 01/12
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