Online Member Application

Firm Name

Physical Address

Mailing Address

Contact Person

Telephone

Fax

Email Address

Website

Total No. of Employees

Full-Time Employees

Part-Time Employees

Membership Investment
(See Investment Schedule Below)

Business Type/Category

Required anti-spam question. What's 12 minus 7?  Put your answer in the box below.

Please Note: Membership investments are payable in advance and are continuous until written resignation is submitted. One representative is allowed for each membership. This membership is tax deductible as a legitimate business expense.

Membership Investment Schedule

Retail or Service Business

1 to 5 employees: $150 + $5 for each additional employee.
Part-time employees counted as 2=1.

Professional/Financial Service

Includes: medical, law, accounting, insurance, engineering, financial advisors, etc.
$175 + $50 for each additional professional.

Industry or Manufacturer

1 to 10 employees: $175 + $7 for each additional employee.

Commercial Bank/Savings & Loan

< $50 million in assets = $800
$50 to $100 million in assets = $1,500
Over $100 million in assets = $2,000

Real Estate

$200 for the firm + $50 for each additional agent listing with a member firm.

Resort/Motel/Apartment/Campground

$150 + $3 per unit.

Restaurant

$200

Utility Company

$500

Club/Church/Organization

$125

Associate Member (Individuals Only)

$100

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