 | Medford Chamber of Commerce |
Date _____________________ ___ New Member ___ Renewal
Business Name ______________________________________
Print Name of Primary Representative* _________________________________
All Chamber mailings (meeting notices, newsletter, dues invoices, nomination forms, etc.)
will be directed to the Primary Representative unless requested otherwise.
Address__________________________________City_________________State____Zip_____
Telephone # ( )___________________Fax # ( ) ___________________
E-Mail Address_________________________________Web Site ______________________
Print Name of Secondary Representative* (if any) _________________________________
Telephone # ( )___________________E-Mail Address ____________________________
Type of Business____________________________________________________
Brief description of your business ______________________________________________
_______________________________________________________________________
# of Employees_______ Annual Dues (see list below) $________________
Would you give Chamber members a discount on your products/services? Yes___ No___
If yes, please describe discount ______________________________________________
Signature of Primary Representative ___________________________________________
PLEASE NOTE: All memberships subject to approval by the Board of Directors.
The Board of Directors is charged with the general supervision of the affairs, funds, and property of the Chamber. The Board
consists of twenty-four (24) Directors, plus the President, President-Elect, Secretary, Treasurer, and immediate Past President.
* Each year in March, the Chamber Board of Directors elects eight (8) persons to the Board. The term of a Director is three (3)
years. Primary and Secondary Representatives are the only persons from a business eligible for nomination to the Board of
Directors. Additionally, the Chamber member must have been a member in good standing for one year; although this one-year
requirement may be waived by a two-thirds (2/3) vote of the Board. Nomination forms are mailed in February.
Board meetings occur monthly and are open to Chamber members in good standing. Members may participate in discussions
but shall be excluded from making motions and voting.
___________________________________________________________________________________________________
ANNUAL MEMBERSHIP DUES*
Individuals (non-business) $70
Institutions $500 | Enclosed is my check for $_________made payable to the Medford Chamber of Commerce. I authorize you to charge $________ to my VISA, MasterCard, or American Express (circle one) ACCT # __________ __________ __________ __________ Expiration Date (mm/year) _____/_____ Card Validation Code __________
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| (Examples of Institutions include hotels, utilities, hospitals, schools, banks) * The Chamber has annual billing from April 1 through March 31. New Members - Ask about pro-rated dues. | ||