Tuesday, January 06, 2009


MEMBERSHIP APPLICATION 2008

Business Name:

Mailing Address:
City:
Postal Code:
Business Location:
Phone:
Fax:
Email:
Website:
Contact Person:
Owner:
Product/Service Provided:
# of Employees:
Membership Fee:
(Use guide below)

GST:
Total:
Please invoice:

(Make Cheques payable to Lloydminster Chamber of Commerce)

FEE STRUCTURE (Part Time employee=1/2 employee)

# OF EMPLOYEES

ANNUAL FEE

GST

TOTAL

1 - 5 157.00 7.85 164.85
6 - 10 224.00 11.20 235.20
11 - 20 294.00 14.70 308.70
21 - 60 390.00 19.50 409.50
61-100 505.00 25.25 530.25
101-300 693.00 34.65 727.65
301-500 1197.00 59.85 1256.85
501-1000 1,581.00 79.05 1660.05
Non-Profit 89.00 4.45 93.45
Individual 89.00 4.45 93.45

PLEASE CHECK IF YOU ARE INTERESTED IN PARTICIPATING ON:

Board of Directors

Political Action Committee

Membership Relations Committee

HOW WOULD YOU LIKE TO RECEIVE YOUR NEWSLETTER?:

Mail
Fax
E-mail
From the Web Page



Lloydminster Chamber of Commerce

4419 - 52 Avenue, Lloydminster, SK/AB T9V 0Y8
Tel: (780) 875-9013 Fax: (780) 875-0755
Contact Us
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© 2008 Lloydminster Chamber of Commerce