MEMBERSHIP APPLICATION
           
Date _________________        
           
Company Name ___________________________________________________________________
           
Address ___________________________________________________________________
 
Phone _______________  Fax ___________________ E-Mail _________________________________
 
Contact Person ____________________________________________________________________
 
Type of Membership:  Circle Applicable Category Below
 

DUES SCHEDULE
A. Industrial, Manufacturing, Transportation:

Employees:

     1 thru 10       11 thru 25          26 thru 49          50 thru 99          100 thru 249       250 thru 499       Over 500

        $100              $135                  $160                  $330                   $490                 $620                $735
 

B.  Retail, Wholesale, Automotive, Construction, Utilities, Services:

Employees:

      1 thru 5               6 thru 10              11 thru 20               21 thru 50               51 thru 70               Over 70

         $100                   $130                   $160                        $330                      $370                     $435
 

C.  Financial:

       Banks                              Loans & Leasing                  Brokers/Credit Unions

      $1,200                                     $185                                         $315
 

D.  Real Estate, Insurance, Professionals (Physicians, Dentists, Attorneys, Etc.):
       Individuals          Partnerships of 2            Partnerships of 3         Partnerships of 4

     $100                       $135                              $180                           $200
 

E.  News media – Broadcasters:

Newspaper                  Radio                      Cable TV

     $440                      $180                           $180
 

F.  Miscellaneous:

       Non Profit Groups and Individuals

                          $90

 

 COMPANY DESCRIPTION:

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