Membership Application
| Firm Name: ____________________________________________________________________ |
| Mailing Address: ________________________________________________________________ |
| City, State, Zip: _________________________________________________________________ |
| Location Address (if different from above): ___________________________________________ |
| Telephone: ____________________________ |
| Fax: _________________________________ |
| Email Address: _________________________ |
| Web Site Address: ______________________ |
| Business Description: ____________________________________________________________ |
| ______________________________________________________________________________ |
| # of Full-Time or Full-Time Equivalent Employees: _____ |
| SIC Code (if known): ____________________ |
| Owner/Manager: ________________________ |
| Sponsor (person who introduced you to the chamber): __________________________________ |
| Contact (if different): _____________________________________ |
| Print and mail this form along with your membership fee to: Tualatin Chamber of Commerce, PO Box 701, Tualatin, OR 97062 |
| Annual Investment $ _______ + 1st Year Only $30 Initiation Fee = $ _______ (see chart below) |
| For your convenience, the Chamber will also accept Visa or MasterCard. You may FAX this form to us at (503) 692-6955. |
| Card-holder (please print): _________________ |
| Card-holder Signature: ____________________ |
| Visa/MasterCard #: ______________________ Exp.date: ______ |
| Signature: ______________________________ |
Membership is continuous and payable in advance. Renewals are billed on an anniversary basis (i.e. June 1, if you originally joined in June). Membership investment dues may be tax deductible as an ordinary and necessary business expense, but not as a charitable donation.
| Tualatin Chamber of Commerce Investment Schedule | |
|---|---|
| Number of Employees | Annual Investment |
| 1-2 employees | $215 |
| 3-5 employees | $252 |
| 6-10 employees | $308 |
| 11-20 employees | $395 |
| 21-35 employees | $521 |
| 36-50 employees | $584 |
| 51-75 employees | $647 |
| 76-100 employees | $723 |
| 101-250 employees | $805 |
| 251 or more | $858 |
Rates Effective January 1, 2007