Text Box:   MARSHFIELD AREA CHAMBER OF COMMERCE          MEMBERSHIP APPLICATION Text Box: ORGANIZATION / COMPANY INFORMATION Text Box:     Organization / Company Name   Mailing Address                                                                            City                                       State                           Zip Code   Business Address                                                                         City                                       State                           Zip Code   Phone Number                                                            Cell Number                                                            Fax Number        E-Mail Address                                                                              Website Address                                                          

Text Box: CONTACT INFORMATION Text Box:     Name                                                                                           Title                                        Phone                                                                                           E-Mail   Name                                                                                           Title   Phone                                                                                           E-Mail

Text Box: Additional Contact Information Text Box: Organization Information - Membership Dues Text Box:   Total Number of Employees -   Realtors, Include Number of Agents                       Business Days & Hours Open                                                                         Dues Structure from January 1, 2010                      through December 2010

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Text Box: We would appreciate your help with the following events - please check one or more and we will contact you!       _______  Golf Tournament       _______ 4th of July on the Square       _______ Rodeo Gates                       _______ Rodeo Kitchen       _______ Children’s Christmas Store     Thank you!

Text Box: Send the completed application & dues payment to: Marshfield Area Chamber of Commerce 1350 Spur Drive, Ste. 190 Marshfield, MO.   65706

Text Box: When you join the Marshfield Area Chamber of Commerce your business will be added to our  website with a direct link to you.  Visit our website at   www.marshfieldmochamberofcommerce.com Or call  859-3925 Text Box: 2010

Not-For Profit Organizations

$25.00

Individual (Non-Business)

$35.00

Self-Employed (No Employees)

$50.00

Business up to 4 Employees

$100.00

Business with 5 to 20 Employees

$125.00

Business with over 20 Employees

$200.00