Firm Name Street Address Mailing Address (If different) City State Zip Telephone Fax Description of Business E-mail Web address (If available) Principal Officer/Owner Contact Person Number of Employees * Full-Time   Part-Time Check one of the following payment plans Semi-Annually Annually Name of Applicant Date Recommended By Membership dues in the Chamber of Commerce may be tax deductible as an ordinary and necessary business expense. Dues payable to the Chamber are not a charitable tax deduction for federal income tax purposes. The Chamber is not a charity, but serves as an advocate organization for area businesses. * Small and professional businesses invest $176 per year, plus $3 per full-time employee and $1.50 per part-time employee. A "retiree" membership is available to prior active members at $75 per year. Membership to social service organizations is $143 annually. Medium and large firms invest more based on averages for their type of plant. There may be special circumstances that will be taken into consideration.