Membership Investment - Schedule Application
Business Name: ____________________________________________________
Contact Name: ____________________________________________________
Mailing Address: ____________________________________________________
Street Address: ____________________________________________________
Town: ____________________________________________________
State: _____ Zip: ______ Phone #: _______________ Fax #: _______________
Email: ____________________________________________________
URL http:// _____________________________________________________
(Information given above, excluding your email address, will be posted on the chamber’s website and printed in our Business Directory)
Annual Investment
(Please check one by combining part time employees to equal FTEs):
No. of Employees: Full Time_____Part Time____
One Time set-up charge $25.00
□ Individuals $40
□ Contract Employees (sales agents, etc) $60
□ Non-profit organization (no employees) $125
□ Non-profit organization with employees pay 65% of the rates listed below based on the number FTEs (i.e. 5-10 employees = $172)
□ Business with up to 4 employees $215
□ Business with 5 to 10 employees $285
□ Business with 11 to 50 employees $400
□ Business with 51-150 employees $590
□ Business with 150+ employees $1,150
Total Amount Paid (including set-up charge) $ _________
Please set up automatic draft ________ Please bill our credit card: ____ MC ____ Visa
Please make check payable to: North Kingstown Chamber of Commerce
and return it with your completed membership application to
8045 Post Road, North Kingstown, RI 02852; Mon- Fri.: 8:30 am- 4:30 pm.
Please write a short, but complete description of your business and
include principal products and services.
_______________________________________________________
_______________________________________________________
_______________________________________________________
What category heading would you like your business listed under?
_______________________________________________________
What is your primary reason for joining?
_______________________________________________________
