Henry County
Chamber of Commerce, henry county kentucky
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Henry County |
APPLY FOR MEMBERSHIP
Printable Mail-in Form
Please Print, Thank You
Information provided will be used to establish a basic business record on member firms. Although membership information other than name, representative, location and business type is confidential.
| Business Name/Type | |
| Contact Name | |
| Preferred Phone Number | |
| FAX Number | |
| Pager Number/Toll Free Number | |
| Email Address | |
| Web Site Address (URL) | |
| Address 1 | |
| Address 2 | |
| City, State, Zip Code |
| Number of employees (See chart below) ______ | Former Member? |
|
| Signature:________________________________ | Date:____________________ | |
| Type of Membership applying for: | ||
| Individual, Farms or Civic Groups |
Manufacturers | Retail, Service, Professional, Educational, and all others not specified |
||
| $50.00 | 25 or less employees | $200.00 | 1 - 5 employees | $100.00 |
| 26 - 50 | $350.00 | 6 - 10 | $150.00 | |
| 51 - 75 | $400.00 | 11 - 20 | $200.00 | |
| 76 - 100 | $450.00 | 21 - 50 | $250.00 | |
| 101 - 125 | $500.00 | 51 - 100 | $300.00 | |
| 125 - 150 | $550.00 | 101 or more | $350.00 | |
| 151 or more | $600.00 | |||
Updated 06/04/2008
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© Copyright 2008
Henry County Chamber of Commerce. All Rights Reserved This site was created by Joyce K. Meyer, on May 5, 2008. Last revised on 11/07/08. |