New Membership and Membership Renewal Form

Date: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

*Membership Classification:

	New Member Introductory Price: $99 for one year (introductory price ends on Sept. 30, 2011).
	Individual Membership: $150 Sole-proprietor/home-based business Welcome email to members Listing on the website directory 1 Pass to a luncheon
	Basic Membership: $250 Welcome email to members Listing on the website directory 1 Pass to a luncheon 1 Pass to a multi-chamber event
	Executive Membership: $350 Welcome email to members Listing on the website directory 2 Passes to a luncheon 2 Passes to a multi-chamber event Recognition at a Monthly meeting Ribbon cutting/open house
	Silver Membership: $500 Welcome email to members Listing on the website directory 3 Passes to a luncheon 3 Passes to a multi-chamber event Recognition at a Monthly meeting Ribbon cutting/open house Listed as co-sponsor for one big event (criterium, golf tournament, Taste of Holladay, etc.)
	Gold Membership: $1,000 Welcome email to members Listing on the website directory 3 Passes to a luncheon 3 Passes to a multi-chamber event Recognition at a Monthly meeting Ribbon cutting/open house Listed as co-sponsor for two big events (criterium, golf tournament, Taste of Holladay, etc.) Logo posted on the Holladay Chamber website homepage
	Supporting Partner: $5,000 Welcome email to members Listing on the website directory 3 Passes to a luncheon 3 Passes to a multi-chamber event Recognition at a Monthly meeting Ribbon cutting/open house Listed as sponsor for two major events Logo posted on the Holladay Chamber website homepage Recognized on all communications

Company Information:

Company Name
*Name of Owner / Chief Executive
Name of Principal Representative	Title
Mailing Address
Street Address
City, State, Zip Code (+4 if known)
*Phone
*E-mail
Website
Business License Number
Brief Description of Company and Services Offered

Clicking "Submit" will take you to our secure site to pay.
* Indicates required field.

You can also fill out and print this page, and send with a check to:
PO Box 17263
Holladay Utah 84117

Please make your check payable to the Holladay Chamber of Commerce. Thank You.
(Dues may be deductible as a business expense, please consult your tax professional.)