SPARWOOD & DISTRICT CHAMBER OF COMMERCE
Box # 1448 Sparwood, BC V0B 2G0
2011 MEMBERSHIP APPLICATION
Business Name:___________________________________________ # Of Employees ________
Mailing Address:_________________________________________________________________
Name of Representative:__________________________________________________________
Telephone:_______________________ Fax:__________________________________________
E-Mail:_____________________________________ Web Address:_________________________
TYPE OF MEMBERSHIP APPLIED FOR (PLEASE CHECK ONE)
| Individual | |
| Business | |
| Corporate | |
| Associate (non voting- requires full membership in local Chamber- proof required) | |
| Non-Profit | |
| Senior/Student |
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Fee Schedule
Voting Member
| Individual | $62.78 | |
| Business Owner with No Employees or Home Based Business | $97.31 | |
| Owner plus 1-5 Employees | $116.76 | |
| 6-10 Employees | $140.60 | |
| 11-20 Employees | $169.49 | |
| 21 + Employees | $203.38 | |
| Corporate | $627.74 | |
| Non- Profit | $62.78 | |
| Seniors/Students | $12.32 |
***HST is included in above payments***
Fees include membership in the BC and Canadian Chambers of Commerce
Signature :___________________________________________________________
Date:________________________________________________________________
**NOTE: Fees are deductable as a Business Expense when computing Income Tax**
To ensure correct information on our webpage;
Please return your completed form with payment
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