GARRARD COUNTY CHAMBER OF COMMERCE
656 Stanford Road
Lancaster, KY 40444
Telephone and Fax (859) 792-2282
garcocham@windstream.net
MEMBERSHIP APPLICATION
Company
:_______________________________________________________________
Address:_
_______________________________________________________________
City, State, ZipCode: ________________________________________________________
Telephone Number: ________________________________________________________
Fax Number
: __________________________________________________________
___
Contact Person: __________________________________________________________
Business Category: ________________________________________________________
Committee Choice: ________________________________________________________
E-mail Address: ___________________________________________________________
WebSite: _______________________________________________________________
_____Membership Plaque Needed
_____2008 Date for Membership Plaque Needed
Date: _______________________________ Amount of Remittance: _______________
FULL MEMBERSHIP
Individual Membership (Includes no business privileges) $30.00
Small Business (1 - 11 employees) $60.00
Large Business (12+ employees) $150.00
ASSOCIATE MEMBERSHIP FOR CURRENT DANVILLE CHAMBER OF COMMERCE MEMBERS WHO ARE NOT CURRENTLY MEMBERS OF THE GARRARD COUNTY CHAMBER OF COMMERCE
Individual Membership (includes no business privileges) $15.00
Small Business (1 - 11 employees) $30.00
Large Business (12+ employees) $75.00
MEMBERSHIP FOR NON-PROFIT BUSINESSES FURNISHING 501 (C) (3) DOCUMENTATION OR ITS EQUIVALENT
ONE-HALF FULL MEMBERSHIP
Please print and complete the above form, enclose membership dues and mail to
Garrard County Chamber of Commerce
656 Stanford Road
Lancaster, KY 40444
Thank you for supporting the Garrard County Chamber of Commerce
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