| Membership Application |
|
|
| Chamber - About | |
|
PULASKI COUNTY CHAMBER OF COMMERCE
Membership Application Form
Name of Business: _______________________________________________
Business Owner: ________________________________________________
Contact Person: __________________________________________________
Address: ________________________________________________________
Address:________________________________________________________
City: ____________________ State: ______ Zip: ______________________
E-mail: _________________________________________________________
Website address: _________________________________________________
Phone: ____________________________ Fax: ________________________
Key words for search engine on Chamber web site: ________________________________________________________________
Referred by: _____________________________________________________
# Full-time employees: _________ # Part-time employees: ______________
Type of business: __________________________
Year business started: ______________________
Please circle any committees on which you would be interested in serving:
Business Expo Golf Outing Halleck Award Banquet
Spring Clean-Up Adult Scholarship Program Tourism
Reality Store Retail Committee Winter Wonderland Ribbon Cutting Ceramonies 4-H Booth
What are your primary reasons for joining the Pulaski County Chamber of Commerce? (Circle all that apply)
Make business contact Obtain special services
Make social contact Have a voice in community
Improve business climate Make a contribution to community
Participate in small business Networking Opportunities
Programs Other (specify)
Please indicate in order the three most important functions your Chamber should be performing for you:
( ) Encouraging new jobs by assisting in expansion of business already here.
( ) Encouraging new jobs by recruiting new firms to come here.
( ) Giving members the opportunity to become leaders.
( ) Offered seminars and other educational opportunities.
( ) Promoting Tourism.
( ) Involvement of business with public education
( ) Providing networking opportunities.
( ) Recognizing business for outstanding effort.
( ) Representing business at all government levels.
( ) Other
What ideas or suggestions do you have for the Chamber? (i.e. new programs, educational opportunities, promotions…)
Member Category:
Associate Member 25.00 Regular 75.00 Financial Institution 150.00
Friend of the Chamber 25.00 Utility Companies 200.00
Please make your check or money order in the amount payable to:
Pulaski County Chamber of Commerce
P.O. Box 113
Winamac, IN 46996
Any questions?
Please call:
574-946-7600
Or email:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
|
|