Member - Centralia - Chehalis Chamber of Commerce

Member Application

Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

1-3 full-time equivalent employees: $235.00
Two part-time employees are equivalent to one full-time employee. 4-5 full-time equivalent employees: $245.00
Two part-time employees are equivalent to one full-time employee. 6-10 full-time equivalent employees: $285.00
Two part-time employees are equivalent to one full-time employee. 11-15 full time employees: $320.00
Two part-time employees are equivalent to one full-time employee. 16-25 full time employees: $375.00
Two part-time employees are equivalent to one full-time employee. 26-50 full time employees: $525.00
Two part-time employees are equivalent to one full-time employee. 51-75 full time employees: $625.00
Two part-time employees are equivalent to one full-time employee. 76-100 full time employees: $725.00
Two part-time employees are equivalent to one full-time employee. 101-175 full time employees: $925.00
Two part-time employees are equivalent to one full-time employee. 176-250 full time employees: $1,125.00
Two part-time employees are equivalent to one full-time employee. 251-350 full time employees: $1,390.00
Two part-time employees are equivalent to one full-time employee. 351-450 full time employees: $1,665.00
Two part-time employees are equivalent to one full-time employee. 451-550 full time employees: $2,195.00
Two part-time employees are equivalent to one full-time employee. Non-profit rate: $145.00
Flat rate for non-profits. Proof of non-profit status required.

Additional Fees:

$25 one time set up fee : $25.00
New Member Startup Fee

Payment Option:

Bill me Charge my credit or debit card

Please scroll down to view the entire policy and then click Accept.
Membership dues are 95% tax deductible for most Chamber members as an ordinary and necessary business expense. Dues paid to the Chamber are not a charitable tax deducation for federal tax purposes. By joining the Centralia-Chehalis Chamber of Commerce, you are authorizing the Chamber to communicate with you via phone, fax and any type of electronic communications regarding events, fees, sponsorships, membership dues and other transactions to facilitate your membership benefits. Membership cancellation is required in writing 30 days prior to next billing cycle. Monthly late fee of $30 will apply to all outstanding dues. By submitting this form electronically you are in agreement to the terms as outlined.

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