Boone County Chamber of Commerce  
 

BOONE COUNTY CHAMBER OF COMMERCE
Membership Application

 
 

Payments by Check

 
Please complete form with current company information via text box, selecting all choice buttons or drop down box options! 
Required Field *
Company Name
Parent Company Name
Contact Person *
Title
Address
PO Box
City
State
Zip Code
Phone Number *
Fax Number
Email Address
Ability to Receive emailYes No
Website Address
Sponsor Level MembershipsGold $1,700 Platinum $2,750 Chamber Partner $5,500
Event to SponsorHome Show (April) Golf Outing (June) Directors Election (Sept) Civic Banquet (Nov)
Number of Employees
Membership Investment
Representative 1
Representative 1 email address
Representative 2
Representative 2 email address
Representative 3
Representative 3 email address
Representative 4
Representative 4 email address
Type of Business
Discription of Business
Your Name
Date
Verification:

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  Note: Annual Billing occurs every January.
  Upon receipt of your dues and Chamber Board approval, your Chamber membership packet will be mailed.