Membership Application

Want to see the membership annual investment by category?

Business Name *

Business Address *

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Business Phone *

Business Phone

(###)

###

####

Business Website

http://

Primary Contact Person *

Primary Contact Person

First Name

Last Name

Title

Email *

Business Classification Listing *

What would you list your business under in the Yellow Pages?

Description of products or services offered:

Membership Category *

Choose the best one that describes your business.

Number of Full Time Employees (FTE) *

Count two part time employees as one FTE. (A part time employee is less than 30 hrs/wk.)

Questions?

Please let us know if you have any questions or concerns and we'll be in contact with you ASAP.

Select one: *

Membership Annual Investment by Category

A – General Membership

<4 FTE = $192.50
5-9 FTE = $220.00
10-15 FTE = $253.00
>15 FTE = $313.50

B – Hospital/Medical/Care Facility, Printer/Publisher, Oil Industry, Manufacturer, Processor, Distributor

<4 FTE = $192.50
5-12 FTE = $253.00
13-50 FTE = $313.50
51-100 FTE = $440.00
>100 FTE = $440 + $1.10 per FTE over 100

C – Home Based Business (one employee)

$99.00

D – Professional Listing (in addition to business base listing)

$60.50

E – Financial Institution (bank, credit union, savings & loans)

$1,250.00

F – Public Utilities

$577.50 + $1.10 per FTE

G – Retail

<4 FTE = $192.50
5-9 FTE = $220.00
10-15 FTE = $253.00
16-30 FTE = $313.50
31-50 FTE = $440.00
>50 FTE = $440.00 + $1.10 per FTE over 50

H – Retired Individual

$99.00

I – Non-Profit Organization

$192.50

Go back to the membership application form.