Member Investor Application

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Member Investor Application

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Date(required)

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Company Name(required)

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Business Address(required)

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Mailing Address(required)

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Business Contact(required)

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Title(required)

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Phone(required)

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Email(required)

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Website

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Number of Employees (Full Time)(required)

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Number of Employees (Part Time)(required)

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Annual Dues / Type of Membership(required)

$100 1 employee (home business) $200 1 employee (storefront) $300 2-15 employees $425 16-25 employees $850 26-50 employees $1600 51+ employees $125 Additional Business* $200 Clubs or Non-Profit Organizations**

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*Primary dues based on business with most employees.*
**Non–profits with 51+ employees will need to pay the $1600 dues.**

Category for Your Business(required)

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This will be used for your free listing in the Community Guide and on the Chamber website. Additional category listings are available for purchase.

What services does your business offer?(required)

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Year Business Established(required)

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This will be used for anniversary recognition.

What are your business hours?

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Do you have a Facebook account?

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Do you own any other businesses?

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Referred by:

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Are you interested in joining a committee?

Yes No

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Are you interested in being on the Chamber Board of Directors?

Yes No

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Are you interested in donating to the scholarship fund?

Yes No

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We offer a scholarship for graduating high school seniors who live in Harvard as well as a Chamber membership scholarship for local non-profit organizations.

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