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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