Membership Application

Date(required)

Company Name(required)

Business Address(required)

Mailing Address(required)

Year Business Established(required)

Business Contact(required)

Title(required)

Phone(required)

Fax

Website

Email(required)

Number of Employees (Full Time)(required)

Number of Employees (Part Time)(required)

Category for Your Business (This information will be used for your listing in the Community Guide)(required)

What services does your business offer?(required)

What are your business hours?

Do you own other businesses?

Do you have a Facebook account?

Referred by:

Are you interested in joining a committee?

Annual Dues / Type of Membership (listed below)(required)

Associates Club $300 (1-15 employees)
Partners Club $425 (16-25)
Directors Club $850 (26-50 employees)
Executive Club $1600 (51+ employees)
Clubs or Non- Profit Organizations $200
Additional Businesses Member dues $125 annually; ONLY includes bolded business listing in the Community Guide.

Harvard Chamber of Commerce & Industry
36 N Ayer St. Suite 1
Harvard, IL 60033

Phone: 815-943-4404

Email: info@harvcc.net