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Membership Application
First Name (*)
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Last Name (*)
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Company Name
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Tribal Affiliation
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Main Contact Person
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E-mail (*)
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Address 2
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Number of Employees
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5-20 Employees
20-100 Employees
100-500 Employees
500+ Employees
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New Member (Yes or No) (*)
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Renewal (Yes or No)
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In 25 words or less, please describe the nature of your business:
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Interests:
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Provide Location for Chamber Workshop
Recommend or Provide Speaker for Chamber Workship
Sponsorship
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Select Membership Level (*)
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Individual - 75.00 USD
Business or Non-Profit L1 #Employees 1-10 - 125.00 USD
Business L2 #Employees 11-25 - 225.00 USD
Business L3 #Employees 26-50 - 325.00 USD
Business L4 #Employees 50-74 - 525.00 USD
Business L5 #Employees 74+ - 750.00 USD
Tribal or Corporate Underwriter - 15,000.00 USD
Tribal or Corporate Platinum - 10,000.00 USD
Tribal or Corporate Gold Membership - 7,000.00 USD
Tribal or Corporate Silver Membership - 5,000.00 USD
Tribal or Corporate Bronze Membership - 2,500.00 USD
Tribal or Corporate Copper Membership - 1,500.00 USD
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