NCTC Membership Application & Renewal
Is this a new membership or renewal
*
New
Renewal
Business Name
*
Owner's Name
*
First Name
Last Name
Main Business Contact Person's Name
*
First Name
Last Name
Main Business Contact Person's Title
*
Email
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Website URL
Social Media Link
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Member Category (choose one)
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Explore
Eat
Stay
Other Business/Civic
Subcategory (select as many as apply)
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Arts
Bakery/Coffee
Bank
Bar
Beauty
Boutique
Business
Church
Civic
Education
Family
Health
Historic Attraction
Home/Busines Repairs
Lodging
Museum
Orchard
Park
Real Estate
Recreation
Restaurant
Shopping
Tire/Fuel
Wine/Vineyard
Other
Business Description
Business Logo
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Membership Levels & Payment Options --- Dues are TAX-DEDUCTIBLE business expenses. Invest in Nebraska City!
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Individual Membership
$
50.00
one-time payment
Church/Civic Group
$
150.00
one-time payment
Bronze Level - $270
$
270.00
one-time payment
Bronze Level - $270
$
135.00
for each
six months
Bronze Level - $270
$
67.50
for each
three months
Silver Level - $600
$
600.00
one-time payment
Silver Level - $600
$
300.00
for each
six months
Silver Level - $600
$
150.00
for each
three months
Silver Level - $600
$
50.00
for each
month
Gold Level - $1,440
$
1,440.00
one-time payment
Gold Level - $1,440
$
720.00
for each
six months
Gold Level - $1,440
$
360.00
for each
three months
Gold Level - $1,440
$
120.00
for each
month
Platinum Level - $3,000
$
3,000.00
one-time payment
Platinum Level - $3,000
$
1,500.00
for each
six months
Platinum Level - $3,000
$
750.00
for each
three months
Platinum Level - $3,000
$
250.00
for each
month
Credit Card
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