Twin Cities Chamber Application

APPLICATION
TWIN CITIES CHAMBER OF COMMERCE

700 Milton Counce Drive

P.O. Box 5077

South Fulton, TN 38257

Phone/Fax: (731) 479-7029

Business Name*

Representative's Name*

Address*

Address Line 2

City*

State*

Zip Code*

Phone

Fax

Hours of Operation

Number of Employees

Type of Business*

Website Address

Facebook Address

Information about your business

MEMBERSHIP INVESTMENT (Class) SCHEDULE
1. Professionals, Service Establishments, Retailers & Churches…………………...125.00
2. Hotels, Inns, & Apartment Complexes……………………………………..….…….150.00
3. Civic Clubs & Non-Profit ….…………………………………………………………100.00
4. Financial Institutions & Hospitals………………………………………………...…. 400.00
5. Health Facilities, Media, Mortgage Companies & Loan Offices………….…..…. 200.00
6. Individual …………………………………….……………………………………….… 50.00
7. Major Retailers……………………………………………………..………………Negotiable
8. Cities & Counties……………………………………..……………………………Negotiable
9. Industries
1 - 50 Employees $200.00
50 - 100 Employees $225.00
100 - 200 $275.00
200 - 300 $325.00
300 - 400 $375.00
400 - 500 $425.00
500 + $500.00

Note: According to the Internal Revenue Service, dues paid to the Chamber of Commerce are tax deductible as an ordinary, necessary business expense.

Membership Class*

Are you willing to server on the Board?*

Yes

Security Question:
What is seven minus 2 (answer is a single number)