Greater Newburyport Chamber of Commerce & Industry 38R Merrimac Street, Newburyport, MA 01950 Phone: 978‐462‐6680 Fax: 978‐465‐4145
[email protected] ________________________________________________________________________________________________________
~ APPLICATION FOR CHAMBER MEMBERSHIP ~ Today’s Date_______ Company Name: _________________________________________________________________________________________________
Physical Address: _________________________________________________________________________________________________
City: ___________________________________________________________ State: ____________ Zip Code: __________________
Mailing/Billing Address (if different): _________________________________________________________________________________
Telephone: (_______)______________________________________ Fax: (________)______________________________________
Website: ________________________________________ General Business E‐mail: ________________________________________
Facebook : _______________________________ Twitter: _________________________ Linked In: _________________________ Representative Information * Please write on the back of this form the names and email addresses of any other employees/colleagues who you would like to receive chamber emails and event notices.
Primary Contact: ______________________________________________________ Title: ___________________________________ Primary Contact E‐Mail: ___________________________________________________________________________________________ Secondary Contact: _____________________________________________________ Title: ___________________________________ Secondary Contact’s E‐Mail: ________________________________________________________________________________________ Business Category – Choose One ________________________________________________ {A 2nd category listing may be purchased for an additional $50, all others after that are $25 each.} Business Description – Required: ____________________________________________________________________________________ ________________________________________________________________________________________________________________
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________________________________________________________________________________________________________________ Year Bus. Established: __________ # of Full Time Employees: _________ # of Part Time Emp: (less than 30 hrs): _________
Business Hours: __________________________________________________________________________________________________
Membership Fee: $___________________ (Please see “Your Investment” sheet to calculate. Based on # of employees) Payment Method: Check MasterCard Visa Amex Monthly EFT* *If monthly electronic funds transfer, enclose voided check with your signed EFT form and membership application
Card Number: __________________________________________________________________________ V Code: ________________ Expiration Date: _______/________ Cardholder Signature: ________________________________________________________
What issues face your business currently? ____________________________________________________________________________ ________________________________________________________________________________________________________________ What is your primary reason for joining the Chamber? Networking/Business Contacts Website Link Information/Education Lobbying/Advocacy Community Involvement Social/Entertainment purposes Other (explain) ____________________ I agree to receive emails from the Chamber. Signature: ____________________________________________________
YOUR INVESTMENT Whether your business is large or small, the Greater Newburyport Chamber of Commerce & Industry is a wise investment. Membership allows you to become actively involved in the community, easily meet potential customers, exchange ideas and creative business solutions with other like‐minded professionals whom you might not otherwise come in contact with, and stay informed about key issues facing business owners and professionals – whatever the economic climate.
Membership Dues Structure General Membership: Includes retailers, wholesalers, restaurants, corporations, sales, services, manufacturers, utilities and professionals (accountants, architects, attorneys, dentists, physicians, brokers, etc.) Business Owner & 2 employees $335.00 Base Next 7 employees (Employee 4 – 10) $12.25/ea. Next 10 employees (Employee 11 – 20) $10.58/ea. Next 30 employees (Employee 21 – 50) $ 7.80/ea. Next 50 employees (Employee 51 – 100) $ 5.56/ea. Next 100 employees (Employee 101 – 200) $ 3.34/ea. Next 200+ employees (Employee 201+) $ 1.11/ea. Please see reverse side for quick reference guide. Financial Institutions $182.51 for first million $52.46 per million for $2 – 10M $5.09 per million for over $10M (Round to the nearest whole dollar) Commercial Building / Apartment Owners; Inns & Lodging $335.00 for first 10 units $3.90 each additional unit (Round to the nearest whole dollar) Non‐Profit / Civic Organizations & Second Businesses Half of the calculated value of a General Membership (Based on number of employees) (Round to the nearest whole dollar)
MEMBERSHIP DUES CALCULATION SHEET FOR A GENERAL MEMBERSHIP Quick Reference Guide *Membership dues are based on the total number of employees in the organization (2 part‐time employees = 1 full‐time) Non Profit dues are ½ price. Calculate regular dues based on number of employees and divide by 2. Round to the nearest whole dollar Total Employees / Annual Dues: 1‐3 $335 28 $589 4 $347 29 $597 5 $359 30 $604 6 $372 31 $612 7 $384 32 $620 33 $628 8 $396 34 $636 9 $408 35 $643 10 $421 36 $651 11 $431 37 $659 12 $442 38 $667 13 $452 39 $675 14 $463 40 $682 15 $474 16 $484 41 $690 17 $495 42 $698 43 $706 18 $505 19 $516 44 $714 45 $721 20 $527 21 $534 46 $729 47 $737 22 $542 23 $550 48 $745 24 $558 49 $753 25 $565 50 $760 26 $573 100 $1039 27 $581 150 $1205
