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Company Name: *
Street Address: *
Street Address 2:
City: *
State: *
Zip: *
 
General Business Email: *
Company Phone: *
Alternate Phone:
Fax:
Website:
Number of Employees: *
 
Full-time (FT): *
Part-Time (PT): *
Business Category: *
Primary Contact: *
 
Name: *
Title: *
Business E-mail: *
Phone: *
Secondary Contact:
 
Name:
Title:
Business E-mail:
Phone:
Who referred you to the Duluth Area Chamber of Commerce?
What are your main reasons for joining the Duluth Area Chamber of Commerce? *
Business Description: *
15-20 words, printed with New Member announcement in ChamberXPRESS.
Dues Amount Information
General Business (GB):
$347 for up to 5 Full-Time employees, $9.60 per employee over 5 (3 Part-Time = 1 Full-Time). One-time Application Fee of $30.
 
 
Base Cost: $347
Full-Time Employees: 
Part-Time Employees: 
One-time Application Fee: $30
Total Membership: 
Payment Information:
 
Name on Credit Card: *
Billing Address: *
Billing Address 2:
Billing Zip Code: *
Card Type:
Card Number:
Expiration Date Month:
Expiration Date Year:
Card Code (the 3 to 4 digit code from the back of the card)