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Cranberry
Country Chamber of Commerce
Membership Application Form
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Please print out this form, and mail the completed form along with your check or credit card information to:
Cranberry Country Chamber of Commerce
40 North Main Street - PO Box 409 - Middleborough, MA 02346
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| Company Name: |
| Contact Person: |
| Mailing Address: |
| |
| Phone: |
Fax: |
| Email: |
Website: |
| Business Category: |
| Number of Full Time Employees: |
Number of Part Time Employees: |
| Please Calculate your Chamber membership investment: |
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1.
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One-Time Initiation Fee: |
$25.00 |
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2.
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Base investment, includes up to 3 employees*: |
$220.00 |
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3.
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$5 per additional full time employee*: |
$ |
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4.
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$2.5 per additional part time employee*: |
$ |
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Total:
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$ |
| *Companies with over 60 employees should call for
rates. |
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| To pay by Visa or Mastercard |
| Card Number: |
Exp. Date: |
| Cardholder Name: |
| Cardholder Address, City, Zip: |
| Cardholder Signature: |
Effect. September 07 |