Member - DeLand Area Chamber of Commerce, FL

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2019 Membership Directory

Member Application

Thank you for your interest in becoming a member of the DeLand Area Chamber of Commerce & Orange City Alliance! Please complete the following member information.
Business Information

Company Name: *

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Phone: *

Website: *

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Physical Address

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City: *

State: *

Postal Code: *

Country: *

Mailing Address

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City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Email: *

Contact Preference:

Email Phone

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Password: *

Address

Same as Member Address

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Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

General Business / Manufacturers 1 - 10 employees: $250.00
General Business / Manufacturers 11 - 25 employees: $300.00
General Business / Manufacturers 26 - 50 employees: $350.00
General Business / Manufacturers 51 - 75 employees: $400.00
General Business / Manufacturers 76 - 100 employees: $450.00
General Business / Manufacturers 100+ employees: Please contact us to determine the fee.
Financial Institution - Main Branch : $450.00
Financial Institution - additional Branch in Service Area : $225.00
Licensed Professional Services 1-10 employees: $280.00
Licensed Professional Services 11-20 employees: $325.00
Licensed Professional Services 21-30 employees: $370.00
Licensed Professional Services 31-40+employees: $415.00
*plus $2 for each employee over 40 Restaurant / Rental Property 1 - 50 seats: $280.00
Restaurant / Rental Property 51 - 100 seats: $315.00
Restaurant / Rental Property 100 seats: $350.00
Healthcare Facility/University/College 1-50 employees: $280.00
Healthcare Facility/University/College 51-100 employees: $380.00
Healthcare Facility/University/College 101-150 employees: $480.00
Healthcare Facility/University/College 151-200+ employees: $580.00
*plus $2 for each employee over 200 Special Categories - Non-Profit (501c3only): $150.00
Special Categories - Associate Member : $50.00
Special Categories - Homebased Business or Agricultural : $195.00

Payment Option:

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