Nelsonville Chamber of Commerce - Membership Application

Thank you for your interest of memberhip in the Nelsonville Area Chamber of Commerce.

Your first step is to either download and fill out an application or fill out the form below to apply for membership online.

Name of Business:

Contact Person:

Street Address:

City:

State:

Zip:

Mailing Address:

City:

State:

Zip:

Email Address:

Would you like your email listed in the Membership Directory?

Yes No

Website Address:

Would you like your website listed in the Membership Directory?

Yes No

Phone Number:

Fax Number:

Would you like your fax number listed in the Directory?

Yes No

Type of Business:

No. of Employees:

Membership in Other Organizations:

Comments:

Are you interested in working on a Committee, Event or Project?

Yes No

Total Due: [?]

Businesses:

1-5 employees: $75.00 ($6.25 monthly discount)
6-10 employees: $100.00 ($8.25 monthly discount)
11-30 employees: $175.00 ($14.50 monthly discount)
31 plus employees: $250.00 ($20.75 monthly discount)

Clubs/Oganizations:

$75.00 ($6.25 monthly discount)