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Indian River County Chamber of Commerce
Membership Application.
_______________________________________________________________
Business Name
_____________________________
_______________________
Mailing Address
City, State, Zip
_____________________________
________________________
Physical
Address City, State,
Zip
______________________
________________________
Telephone Fax
___________________________
________________________
Business Website
Email
______________________________
________________________
Key Representative: Mr./Mrs./Ms.
Title
________________________________________________________
Business Category
Listing for Chamber Directory & Website (how would you be
located in the yellow pages)
__________________________________________________________________________________
Additional Categories may be purchased for $100
each:________________________________________
#
Full Time Employees:_______
#
Part-Time Employees:_______ (2 part-time = 1 full time)
Applicant’s
Signature Date
_____________________________________________________
INVESTMENT SCHEDULE
Please use the following schedule to determine
your membership investment.
Number of Employees (including management)
1-4
$240.00
5-10 $300.00
11-20 $345.00
21-30 $375.00
31-40 $490.00
41-50 $610.00
51-75 $710.00
76-100 $815.00
101 plus $1090.
$______.00 annually (per investment schedule
above)
$35.00 one time administrative fee
+ ______.00 total additional category listings
Total $
Membership investment paid to the Chamber may be tax deductible
to your company as an ordinary and necessary business expense.
Investments paid to the Chamber are not a charitable tax
deduction for Federal income tax purposes. The tax deductibility
of your investment to the Indian River County Chamber of
Commerce as an ordinary Chamber is not a charity, but serves as
an advocate organization for area businesses. The tax
deductibility of your investment as an ordinary and necessary
business expense is subject to restrictions imposed as a result
of lobbying activities. The Chamber calculates the
non-deductible portion of your investment at 10%.
Click
HERE to pay using your Visa or MasterCard
Completed application
must be returned either by mail or fax to Membership:
Indian River County Chamber of Commerce
1146 21st Street, Ste. 2, Vero Beach, FL 32960
772-778-3181 (fax)
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