New Member Registration - Raytown Area Chamber of Commerce

Join The Chamber of Commerce

* Company Name:	* Main Representative:	* Address:

* City:	* State:	* Zip Code:

* Phone Number:	Fax Number:	*Email Address:

Website:	* Type of Business:	Recruited By:

For a complete list of business categories, please contact the Chamber.

* Which form of communication do you prefer to receive notices on meetings, events, and news?

Fax

Mail

By checking any of the above boxes, you agree to give consent to the Raytown Chamber of Commerce to send, via fax or e-mail, notices regarding all Chamber functions.

* Membership Fees
The Fair Share Investment Schedule is based on number of full time employees in your company (2 part time = 1 full time). Your membership investment may be deductible as an ordinary expense; Chamber dues are not deductible as a charitable contribution.

(One-time administrative fee of $25 is included in the total to each new or reinstated membership for processing):

No. of Full Time Employees:

* Annual investment schedule includes one company representative. Additional representatives may be added for $35 each per year.

No. of Additional Reps:

* List the names of the additional reps you are registering below:

Rep 1 Name:	Rep 2 Name:	Rep 3 Name:

Total Amount Due:

* After you review your information on the next page, you will be redirected to PayPal to make your payment.

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