Member - Henderson County Chamber

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

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City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

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Line 2:

City: *

State: *

Postal Code: *

Country: *

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

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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: *

Base Membership up to 5 employees: $350.00
This membership covers up to 5 full-time employees Real Estate Membership up to 5 agents: $360.00
Real Estate Membership - up to 5 agents Micro-Business: $325.00
Sole proprietorships with no employees and no store front/office space. Base Membership for over 5 employees: See fee schedule to determine the fee and enter it below.
$325 plus $5 for each additional full time or 2 part-time employees Real Estate Membership for over 5 agents: See fee schedule to determine the fee and enter it below.
Real Estate Membership for over 5 agents: $435 for 6-10 agents $535 for 11-20 agents $635 for 20+ agents Professional Membership: See fee schedule to determine the fee and enter it below.
Attorneys, architects, CPA's, engineers, physicians, dentists and other professional: $325 plus $25 for each additional associate over 5. Accommodations Membership: See fee schedule to determine the fee and enter it below.
Motels, hotels, inns, lodges, nursing homes, retirement complexes: $325 plus $2 per unit. Financial Institutions Membership: See fee schedule to determine the fee and enter it below.
$325 plus $5 per million dollars in local deposits up to $25 million; $10 per million for the next $75 million and $5 per million thereafter Builders, Industry & Manufacturers Membership: See fee schedule to determine the fee and enter it below.
Builders, Industry & Manufacturers: $325 plus $2 per employee ($1 per employee over 500) If using fee schedule, enter fee here:

Payment Option:

Bill me

Member Application

Mailing Address

Address

Address

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