Application For Chamber of Commerce Membership
237 Commerce St. / P.O. Box 35 Childress Texas, 79201 childresschamber1@gmail.com (940) 937-2567
Date
-
Month
-
Day
Year
Date
Firm Name
Contact Name
First Name
Last Name
Number of Employees
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Fax Number
Please enter a valid phone number.
Email
example@example.com
Web address
www.example.com
Annual Dues Structure - Businesses
Please Select
1-4 Employees $150
5-12 Employees $175
13-30 Employees $250
31-75 Employees $400
Over 75 Employees $500
Choose your business size
Annual Dues Structure - Utility Companies and Banks
Please Select
AEP-ATMOS $300
SPEC $300
Banking Industry $400
Choose your organization size
Motels, Apartments, & RV Parks
Please Select
First 20 Units $150
Each Additional Unit $5.00
Choose your business size
Non-profit entities
Please Select
Membership #’s not required $75
Choose your nonprofit
Individual, Civil and Non-profit Organizations
Please Select
$65
Choose your organization
Submit
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