MARISSA CHAMBER OF COMMERCE

Membership Application

All businesses, individuals and organizations are invited to join the Marissa Chamber of Commerce. Align yourself with other Marissa area business leaders and citizens who are investing their time, energy and resources to strengthen our community and business environment. Chamber membership is open to all those doing business in the Marissa area and interested individuals.

Membership dues are structured so that even the smallest businesses can become members. The Chamber plans to offer plenty of opportunities to build and enhance business relationships and to provide a wide array of products and services to meet the ever-changing needs of our business community.

Firm: ________________________________________________________________________

Contact Person: ________________________________________________________________

Title: ________________________________________________________________________

Street Address: ________________________________________________________________

City: _________________________________ State: ____________ Zip: ________________

Mailing Address (If different from above) _______________________________________________

City: _________________________________ State: _______________ Zip: _____________

E-Mail Address: _______________________ Website Address_________________________

Phone: _____________________________ Fax: __________________________________

Please make your check payable to Marissa Chamber of Commerce and mail to:

P.O. Box 151

Marissa, IL 62257

Payment Information: Check -- Number:________ Bank: ________________________

Date Application Approved: ___________________________

ANNUAL DUES SCHEDULE

Individual

Professional/Retail

Financial Institution

Business employing 50 or more employees

$40.00

$65.00

$115.00

Tax Deductible Expense

Please note that dues may not be considered a charitable tax deduction. However, membership dues are tax deductible as a business expense for federal tax purposes.

PLEASE PROVIDE COMPANY INFORMATION ON THE BACK

(*** This information would be available for publication ***)

Number of Employees: __________________________________________________________

Date Business Established in Marissa:_______________________________________________

What attracted you to your location? ______________________________________________________________________________

______________________________________________________________________________

Brief description of your business, product or services: ______________________________________________________________________________

______________________________________________________________________________

What do you hope your membership in the Marissa Chamber of commerce can do for you and your business? ______________________________________________________________________________

______________________________________________________________________________

What can your business/employees offer the Chamber of Commerce? ______________________________________________________________________________

______________________________________________________________________________

Would you like more information on how to become involved with the programs and committees of the Chamber? ____ Yes _____ No

Special Areas of Interest:

______ Business Development ______ Community Development

______ Membership Relations ______ Downtown Development

**** Any questions or comments you would like to add? ***

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