Marengo-Union Chamber of Commerce Membership Application

MEMBERSHIP APPLICATION

Fields marked with an asterisk (*) are required

Date *

Company Name *

Business Type *

Please briefly describe your business and it's products or services:

Contact Person *

Phone *

Fax

E-mail *

Website

Business Address *

Mailing Address

(only if different from Business Address)

Full Time Employees *

Part-Time *

Two part-time workers equal one full time worker

Community Guide Category

Monthly Newsletter Delivery Preference: US Mail E-mail

Committee Interest: Yes No

Referred by

Dues *

*Dues Schedule*
Number of Employees			Annual Rates
1 - 5			$210.00
6-10			$235.00
11-25			$370.00
26-50			$540.00
51-100			$585.00
101-250			$630.00
251-500			$675.00
500+			$720.00
Service Organizations & Districts			$110.00

If you own or operate other businesses that you wish to include as a member, you must submit a separate application and pay separate dues for that company. Call the Chamber to learn about multi-business discounts.

After submitting your membership application,
please send a check for your dues to :
Marengo-Union Chamber of Commerce
116 S. State Street
Marengo, IL 60152

Please include a business card and any informational materials for our files.
Thank you for choosing the Marengo-Union Chamber.