Want To Join?
Download an application or just fill out the form below.
Company/Organization/
Member Name:
Owner:
Manager:
Contact(s)
Title(s)
Mailing Address:
Physical Address (if different than mailing):
Phone#:
Fax#:
Website:
E-mail:
Type of Business:
Number of Employees:
Year Business was Founded:
Annual Dues:
Recommended By:
For financial Institutions applying for membership: what are your current assets?
Please choose 1 or 2 Categories
Category
Accounting
Advertising
Agriculture / Farming
Antiques & Collectibles
Appliance Sales & Service
Assisted Living
Attorneys
Auto Body / Restoration
Auto Care & Cleaning
Auto Dealers – New & Used
Auto Parts & Supply
Auto Sales
Auto Towing
Auto / Truck Repairs & Service
Awards / Engraving / Trophies
Bakery / Deli
Banks & Financial Institutions
Barber
Books & Cards
Brick Layer / Masonry
Catering Services
Camps / Campgrounds
Candy & Confections
Floor Covering
Child Care
Chiropractors
Churches / Affiliations
Clothing
Club & Organization
Computer Services
Concrete, Stone & related
Consultant
Consultant & Training
Contractors / Construction
Convenience Store
Cosmetics / Beauty
Council for the Arts
Counseling
Credit Union
Dentists
Department Stores
Development
Digital Printing
Distributors – Wholesale
Dry Cleaners
Drywall
Education
Electrical Contractors
Emergency Services
Employment Services
Engineers / Consultants / Surveyors
Entertainment & Recreation
Equipment & Party Rental
Exterminator
Exercise Equipment
Fabrics
Farm Equipment – Sales, Parts & Service
Financial Planning
Florists
Food Processors
Foundations / Philanthropic
Funeral Homes
Furniture
Gas & Service Station
Gift & Specialty Shop
Golf
Government
Graphic Design & Publications
Grocery & Food Items
Hardware & Housewares
Health Care
Health Club
Health Products
Home Construction
Home Improvements
Hospital / Medical
Hotel / Motel Accommodations
Human Services
Individuals
Industrial Decal Services
Insurance
Interior Decorators / Designers
Internet Based Business
Internet Provider
Internet Tech Support
Investments / Securities
Janitorial Services / Carpet Cleaning
Jewelers
Keyboard & Organ Repair
Landscaping
Lawn & Garden Centers
Legal Services
Machinery & Equipment
Management, Sales, Customer Service
Manufacturers
Manufacturer’s Rep
Marketing
Massage Therapy
Medical Service & Supplies
Metal Fabricators
Museums & Historical Organizations
Newspapers & Publications
Non-Profit Organization
Notary Services
Nursing / Retirement Communities
Nutritional Supplements
Office Supplies, Products & Equipment
Optometrists
Paving & Excavating
Pets / Supplies
Pharmacies
Photography
Paint & Wall Coverings / Coatings
Physicians / Surgeons
Plants – Design & Maintenance
Plumbing & Heating
Printers & Publishers
Property Management
Psychologists
Radio / TV Stations
Real Estate Management/Rental Properties
Real Estate Sales / Broker
Recycling
Restaurants / Café
Retail
Rigging
Security Systems / Wiring
Shoes / Accessories
Signs & Lettering
Silk Screening / Embroidering
Surveyors / Engineering
Tanning Salon
Tax Preparation
Telecommunications
Tires
Title & Abstract
Training Services
Travel & Tour Promotion
Tree Maintenance
Trucking
Utility Company
Veterinarians / Veterinary Hospital
Vinyl & Leather Repair
Warehouse
Waste Disposal, Recycling
Water Company / Bottled
Water Company / Treatment
Welding
Wireless Communication
(optional)
Category2
Accounting
Advertising
Agriculture / Farming
Antiques & Collectibles
Appliance Sales & Service
Assisted Living
Attorneys
Auto Body / Restoration
Auto Care & Cleaning
Auto Dealers – New & Used
Auto Parts & Supply
Auto Sales
Auto Towing
Auto / Truck Repairs & Service
Awards / Engraving / Trophies
Bakery / Deli
Banks & Financial Institutions
Barber
Books & Cards
Brick Layer / Masonry
Catering Services
Camps / Campgrounds
Candy & Confections
Floor Covering
Child Care
Chiropractors
Churches / Affiliations
Clothing
Club & Organization
Computer Services
Concrete, Stone & related
Consultant
Consultant & Training
Contractors / Construction
Convenience Store
Cosmetics / Beauty
Council for the Arts
Counseling
Credit Union
Dentists
Department Stores
Development
Digital Printing
Distributors – Wholesale
Dry Cleaners
Drywall
Education
Electrical Contractors
Emergency Services
Employment Services
Engineers / Consultants / Surveyors
Entertainment & Recreation
Equipment & Party Rental
Exterminator
Exercise Equipment
Fabrics
Farm Equipment – Sales, Parts & Service
Financial Planning
Florists
Food Processors
Foundations / Philanthropic
Funeral Homes
Furniture
Gas & Service Station
Gift & Specialty Shop
Golf
Government
Graphic Design & Publications
Grocery & Food Items
Hardware & Housewares
Health Care
Health Club
Health Products
Home Construction
Home Improvements
Hospital / Medical
Hotel / Motel Accommodations
Human Services
Individuals
Industrial Decal Services
Insurance
Interior Decorators / Designers
Internet Based Business
Internet Provider
Internet Tech Support
Investments / Securities
Janitorial Services / Carpet Cleaning
Jewelers
Keyboard & Organ Repair
Landscaping
Lawn & Garden Centers
Legal Services
Machinery & Equipment
Management, Sales, Customer Service
Manufacturers
Manufacturer’s Rep
Marketing
Massage Therapy
Medical Service & Supplies
Metal Fabricators
Museums & Historical Organizations
Newspapers & Publications
Non-Profit Organization
Notary Services
Nursing / Retirement Communities
Nutritional Supplements
Office Supplies, Products & Equipment
Optometrists
Paving & Excavating
Pets / Supplies
Pharmacies
Photography
Paint & Wall Coverings / Coatings
Physicians / Surgeons
Plants – Design & Maintenance
Plumbing & Heating
Printers & Publishers
Property Management
Psychologists
Radio / TV Stations
Real Estate Management/Rental Properties
Real Estate Sales / Broker
Recycling
Restaurants / Café
Retail
Rigging
Security Systems / Wiring
Shoes / Accessories
Signs & Lettering
Silk Screening / Embroidering
Surveyors / Engineering
Tanning Salon
Tax Preparation
Telecommunications
Tires
Title & Abstract
Training Services
Travel & Tour Promotion
Tree Maintenance
Trucking
Utility Company
Veterinarians / Veterinary Hospital
Vinyl & Leather Repair
Warehouse
Waste Disposal, Recycling
Water Company / Bottled
Water Company / Treatment
Welding
Wireless Communication
Please list the names of all employees that should receive our mailings (newsletter, invitations, etc.):
Name of person completing this document:
Greencastle-Antrim Chamber of Commerce
2009 Membership Investment Schedule
1.
General Business
Number of Employees
Base Rate
Plus Rate Variable
0-4
$ 191.00
None
5-10
$ 248.00
None
11-24
$ 295.00
None
25-50
$ 424.00
$3.00/employee
51-100
$ 561.00
$2.00/employee
101-200
$ 765.00
$1.00/employee
Over 200
$ 961.00
$0.50/employee
2.
Utilities
$ 660.00
3.
Financial Institutes
No location in G-A Community
$ 451.00
0-10 Million in Assets
$ 451.00
11-50 Million in Assets
$ 909.00
51-100 Million in Assets
$ 1389.00
101 Million and more in Assets
$ 2188.00
4.
Lodging
Hotels, Motels, Mobile Parks,
Apartments, Bed & Breakfasts
$ 428.00
$ 0.60/unit
5.
Professional
Insurance, Real Estate,
Physicians, Attorneys, CPA’s, etc.
1-5 employees
$ 260.00
6-15 employees
$ 399.00
16 or more
$ 521.00
6.
Non-Profit
IRS 501(c)3
$ 121.00
Educational Institution
$ 214.00
Social, Fraternal, or Veteran Club
$ 289.00
Hospitals/Medical Centers
$ 729.00
Nursing Facility
1-29 beds
$ 186.00
$ 3.00 / bed
30-59 beds
$ 255.00
$ 2.00 / bed
60-99 beds
$ 364.00
$ 1.00 / bed
100 or more
beds
$ 469.00
$ 0.50 / bed
Assisted Living Facility
1-15 beds
$ 162.00
$ 3.00 / bed
16-29 beds
$ 186.00
$ 2.00 / bed
30-44 beds
$ 255.00
$ 1.00 / bed
45 or more
beds
$ 364.00
$ 0.50 / bed
7.
Recreational
$ 191.00
8.
Individual
$ 110.00
Persons
interested in supporting the Chamber who are not a member through the
membership of an active business or profession (each individual member shall
be a voting member). Individual membership shall be in the name of the
individuals only.
9.
Government
$ 341.00