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FOX LAKE AREA CHAMBER OF COMMERCE AND INDUSTRY |
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Business Name: __________________________________________________________ Representative: __________________________________________________________ Business Address: ________________________________________________________ Business City: _______________________ State: _________ Zip Code: ____________ Phone: ____________________Fax:________________Email:______________________ Website: ________________________________________________________________ ? New Member ? Link to www.discoverfoxlake.com ? Renewal Member Since: __________ Type of Business: _________________________________________________________ ? Second Business Address __________________________________________ Representative: ___________________________________________________________ Phone:______________________Fax:_______________Email:_____________________
Fox Lake Area Chamber Member Investment Schedule
Member Investment is based on the number of employees at the Fox Lake designated facility.
? 1-5 employees: $ 160.00 ? 6-50 employees: $ 215.00 ? 51-over: $ 260.00 ? Utilities: $ 300.00 ? Second Business: $ 85.00 ? Schools, Local Government agencies: $ 90.00 ? Non-Profits and Retired Seniors: $ 65.00 ? Home-Base Business $100.00 (Independent Consultant/Distributor) ? Check Enclosed (Please make check payable to the Fox Lake Area Chamber of Commerce) ? Visa ? Mastercard Card # _____________________________ Exp. Date _________ LV / 3 numbers on back_____________ Mailing address zipcode_________________ Signature __________________________________________ Date _______________
- If you are interested in volunteering for a committee, please mark off which one. Thank you!
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