Waynesville Area Chamber of Commerce Membership Application

Waynesville Area Chamber of Commerce

174 S. Main Street, Waynesville, OH 45068
Annual Membership Dues are based on the number of people employed by your company.

1-5 Employees = $1256-20 Employees = $15021-50 Employees = $17551-100 Employees = $200101-300 Employees = $300300+ Employees = $500Associates (Individuals or Couples) = $50Non-Profit Organizations = $75
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different than above)

Mailing Address

Street Address Line 2

CityState

Zip
Hours
Business Phone
Fax
Website
Email
example@example.com
Facebook
Owner Name/ CEO Title
Additional Contact Information
Description about your business (this will become your written store description on the website, so please double check spelling, etc.) Feel free to print and attach your description
Logo File Upload (optional)

Cancelof

Annual Membership Dues are based on the number of people employed by your business.

1-5 Employees

$125.00 Quantity

6-20 Employees

$150.00 Quantity

21-50 Employees

$175.00 Quantity

51-100 Employees

$200.00 Quantity

101-300 Employees

$300.00 Quantity

300+ Employees

$500.00 Quantity

Associates (Individuals or Couples)

$50.00 Quantity

Non-Profit Organizations

$75.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country