Membership Application

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The values of a chamber are more important than ever in today's competitive market place. When you become a member of the Valpo Chamber, you align yourself with a special group of people who recognize the value a membership organization provides the business community. The Valpo Chamber, its Board and Staff, takes great pride in serving you with the highest quality of information, advocacy, networking opportunities and member services. We are dedicated to the quality of life and a positive future for Valparaiso.

Joining is just the beginning...

When you get involved, you'll make the most of your membership by putting the Valpo Chamber to work for you! We are committed to developing strong programs - the kind which connect you with like-minded professionals, relate to your interests, and empower your business to grow.

Join the largest and most active Chamber in Porter County today!

Have questions? Need further information?
Contact Danielle Oeding
Vice President, Sales & Marketing
(219) 462-1105
 
E-mail Address: *

Date: *

Business/Organization Name: *

Year Established: *

Business/Organization Address: *

City: *

State: *

ZIP: *

Phone: *

Fax:

Owner/President: *

Contact name and title of person to be listed in Membership Directory: *

Mailing Address (if different than above):

Billing Address (if different than above):

Website Address:

Is this a home-based business? *
Yes
No

Primary category listing: *

Additional category listing:

Additional category listing:

Additional category listing:

Please check the best method for you to receive Valpo Chamber communications (newsletter, calendar of events, etc.)*
E-mail (E-mail is the preferred communication method used by the Chamber and will ensure that you receive timely information from us. Please check with your IT person to insure your security settings are set to receive HTML and attachments (files sent are never over 2MB). It is also important that you add info@valparaisochamber.org to your address book or set your junk box filters so any e-mail from the Chamber will go directly to your Inbox.)

Mail to the address listed above

Name and title:

Mailing Address (if different than listed above):

Phone (if different than listed above):

Email (not applicable if your preferred method is mail):

Name and title:

Mailing Address (if different than listed above):

Phone (if different than listed above):

Email Address (not applicable if your preferred method is mail for fax):

Business Description (40 words max):
I am interested in volunteering for the following committee(s):
Ambassadors
Chamber Network Night (CNN)
Envision the Future
FunDay Golf Classic
Leadership Development/Community Engagement
Lu-WOW! Rooftop Rendezvous
Percolator Club - Monthly Membership Meeting
Small Business/Retail

Please indicate the top reason(s) why you are joining the Valpo Chamber: *
Chamber Directory and Web site directory listing
Create visibility
Cost-effective business development programs
Cost-effective leadership and professional development programs
Customer referrals
Enhance credibility and corporate identity
Expand networking opportunities
Improve quality of life in Valparaiso
Other

If Other, please explain:

2008 MEMBERSHIP INVESTMENT SCHEDULE
Your membership investment is based on the number of full-time employees in your company, including management/owner.
Count two part-time employees as one. Do not count seasonal employees. Rates good through November 17, 2008
Pro-rated investment: Businesses that join during the year are required to pay the full year investment upon submission and approval of their membership application. The following year, the membership investment is pro-rated based on "actual" months of membership during the first year. All members are invoiced in November with payment due in full January 1.
Example:
May 2008 - XYZ Company joins the Valpo Chamber submitting full year payment.
November 2008 - XYZ Company's 2009 Membership is pro-rated for 8 months based upon anniversary month of May 2008 and invoiced.
Employees Annual Investment
1 to 3 $309
4 to 10  $447
11 to 20 $584
21 to 40 $853
41 to 80 $1,390
81 to 150 $2,012
151 to 225 $2,365
226 to 300 $2,731
Over 300 $2,992

Special requirements and restrictions apply to other membership investments: Subsidiary Members $77; Associate Members $125; Civic Members $125: Non-profit Members $166 (see bottom of application for explanation).

Number of Employees FULL TIME: *


Number of Employees PART TIME: *

Annual Investment (see investment schedule above): *

Additional category listings ($50 each x _____ =) *

Application fee ($35): *

Total: *

Payment information: *
Please call for credit card number
Sending Check
I will bring payment to Valpo Chamber office
Upon submission, you will be redirected to www.valparaisochamber.org
You will receive a confirmation e-mail of the information you submitted to this online membership application.
* Required

Valpo Chamber Membership Investment Special Requirements and Restrictions:
Subsidiary Members $77: Member may be eligible for a discounted, subsidiary membership in the Chamber provided all the following criteria are met: If two more more separated legal entities (and specifically not divisions of the same company) which share in common a person, partnership, corporation, or limited liability company who/which directly owns 80% or more of the interest in each entity, the membership fee for the entities will be calculated as follows:
The entity having the greater number of employees must obtain or maintain a primary membership based on the membership fee schedule. The subsidiary business must have five or fewer employees to qualify for a subsidiary membership rate.
Associate Members $125: Any contracted or commissioned employee of a member business or organization that does not consider that employee as part of their employee count for the purpose of assessing investment may join under this category. The employer must be an active (paid) member in good standing. Examples include, but are not limited to, real estate agents, financial planners, insurance agents, etc.
Civic Members $125: Membership will also be extended to an individual who is not actively employed, connected or involved with a local business, nor serves as a vendor or provider to local businesses. Civic members will be listed by individual name and the category will be "Civic Membership" for the Membership Directory & Community Resource Guide and the Chamber website. Examples include, but are not limited to, retired professionals, full-time students, local residents, etc.
Non-profit Members $166: Any 501c(3) organization, school, church, governmental agency, etc. that derives 60% or more of its funding from public funds (government, tax dollars) or United Way is eligible for the not-for-profit membership rate. Some not-for-profits have elected to pay a business membership investment.