New Partner Application
(*) Denotes Required Fields
Company Information
Company: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Web Site:
Online Links:
Business Category #1:
Please contact us with questions regarding business categories.
Full-time Employees:
Part-time Employees:
Members-only Access
Members-only allows you to update your information online via a secure login.
Admin E-mail: *
Password: *
Verify Password: *
Primary Contact Person
Prefix:
First Name: *
Last Name: *
Suffix:
Familiar Name:
Title:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Billing Contact Person
Prefix:
First Name: *
Last Name: *
Suffix:
Familiar Name:
Title:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Business Description
Limit to 35 words or less.
Annual Membership Investment Structure
2 part-time employees equal 1 full-time employee.
Base Annual Investment$400.00
Number of EmployeesAmount
0 thru 4$400.00
5 thru 7$425.00
8 thru 10$460.00
11 thru 15$495.00
16 thru 20$525.00
21 thru 25$580.00
26 thru 30$660.00
31 thru 50$845.00
51 thru 75$1,115.00
76 thru 125$1,445.00
126 thru 200$1,815.00
201+$1,815.00*
*Additional $3.00 per employee over 200
If you are a business looking to add an additional location, a multi-associate in the real estate, insurance, or financial consulting field, a non-profit organization, a hotel/motel/apartment, or an individual, please contact Partnership Sales Representative Sawyer Coffey for specific investment amounts.
Processing Fee$30.00
__________
Total:$30.00
(*) Denotes Required Fields
**Please note that all online membership applications are subject to review and approval by the Bowling Green Area Chamber of Commerce Board of Directors.