Membership runs from January 1 - December 30.
Non-Profit Membership is $10.00. Individual Membership is $25.00. Both memberships include:
Membership Registration Form:
Entity or Individual Name: ____________________________________________________
Physical Address: ____________________________________________________________
Postal Address: ______________________________________________________________
City, State Zip Code: ________________________________________________________
Primary Contact:____________________________________ Title:___________________
Phone: __________________________ Email:_____________________________________
Secondary Contact: _________________________________ Title: ___________________
Phone: __________________________ Email: ____________________________________
Preferred Contact Medium: _____Email _____USPS
How would you like your website entry listed? __________________________________
____________________________________________________________________________
List your website address, if any ______________________________________________
As your time and schedule permits are you willing to be an active participant? Yes
Areas of Interest: __ Economic Development __ Community Traditions & Preservation
__ Event Support __ Community Relations __ Governmental Relations __ Promotions
The Chamber invites guest speakers to it's meetings. What topics would you like these speakers to address ____________________________________________________
Additional comments: ________________________________________________________
____________________________________________________________________________
Chamber Members receive a 25% discount on Chamber supported events advertised in the Elsberry Democrat.
Registration By: ___________________________________ Date: ____________________