SCCC Membership Application

Membership Application

Apply online below
or
Download a printable MS Word or PDF version
and fax/mail to the Chamber

Main Contact:	Title:
2nd Contact:	Title:
Company Name:	Business Category:
Types of Products/Services:
Street Address:
City:	State:	Zip:
Phone Number:	Fax Number:
Email Address:	Website:

How do you prefer to receive weekly chamber correspondence? (Choose One)
E-mail	Fax	Mail

Investment Schedule
No full-time employees: $195.00
1 full-time equivalent employee: $210.00
2 or more full-time employees: $220.00 base + $4 per FTE
6 or more full-time employees: $265.00 base + $4 per FTE
20 or more full-time employees: $370.00 base + $4 per FTE
Non-profit and Government organizations: $130.00
Individual memberships (no business affiliation): $130.00

Maximum annual dues investment: $1,200.00

Select membership type:

Full-Time Employees:

Billing Information
Name:
Company:
Street Address:
City:
State:
Zip:
Credit Card Information
Card Type:
Card Number:
Exp. Date: