LEAVENWORTH CHAMBER OF COMMERCE
PO Box 327 Leavenworth, WA 98826
Ph
509.548-5807 Fax 509.548.1014
info@leavenworth
We appreciate your interest in the Leavenworth Chamber of Commerce. Please
take a few minutes to complete this membership application and it will be
considered at the next Chamber Board meeting. The Leavenworth Chamber of
Commerce Board meets twice a month.
MEMBERSHIP APPLICATION
_________________________________
______________________________________________________
Business name
Business mailing address
______________________________________
______________________________________________
Business address (physical)
City State Zip
______________________________________
______________________________________________
City
State Name of business on license
______________________________________
_____________________________________________
Business phone number
Business Owner
__________________________
_____________________________________________
Fax
number
Manager or contact person
______________________________________
_______________________________________
Email address
Contact number and email address
___Out
of Area: if your business
is out of the area of the Cascade School District, check this box in
addition to
completing the membership classification desired section.
Membership
classification desired
___ Activity:
type of
activity___________________________________________________________________
___ Retail:
type of retail store, eg. gift shop, clothing store
___________________________________________
Square
footage of selling area __________________Sq. Ft.
___ Lodging:
type: , eg. Hotel, Motel, B&B, Cabin, Lodge, Suite, etc. _________ Number of
guest rooms ______
Breakfast
Included ____Yes ___No
Fireplace____ Kitchen____ Pool Inside ____ Pool Outside____ Hot Tub____
Jacuzzi____
Children____ Pets_____ Handicap_____
Other_______________________________
Meetings: ____Yes ____No
Number of Meeting Rooms____________ Largest Meeting Room____________Sq.
Ft.
Total Meeting Space____________Sq. Ft. Miles From Town___________
___ Service:
type of service business, eg., accounting, real estate, hair salon,
catering,
etc.________________________________________________________Number of
employees __________
___
Restaurant: type of
food/beverage service, eg. restaurant, lounge, café, snack bar,
etc._________________
Square
footage of public area _________
___Non-profit:
type of non-profit, eg. church, chamber of commerce, etc.
_______________________________
___Individual
___Agriculture:
type of business, eg. orchardist, grower,
winery_______________________________________
___Government
agency: type of agency, eg. City, county, state, federal,
_______________________________ ___ Other: type
___________________________________________________________________________
Dc Directory and website
listing:
As a Chamber member you are entitled to a free listing of your business
or endeavor in the Chamber directories, Visitors Guide and on the Chamber
website and one free link to your website. Out of Area members receive free
listings but there will be a fee of $50.00 for each WEB link.
Description of business, service, activity or agency that will be used in
Chamber membership directories, Visitors Guide and WEB page. (25 words or
less)
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Number of banner ads: _______ @$300.00 each: _____________
The
domain name of my website is:
________________________________________________
As
a Chamber member I agree to pay my dues and any other charges incurred
according to the following schedule:
___ Annually ___ Semi-annually
Dues $_______ Banner Ad(s) $_______ Other $______
Total annual obligation $_______ Amount due, prorated for the balance of the
year $_______
*A deposit of 25% of annual dues or a minimum of $50.00 is
required with the application.
I
declare that I am a financially responsible party for my business, service,
activity or agency and I understand that if my financial obligations to the
Chamber are not satisfied by July 31st of any year, my business will be
suspended from the web, and active promotion sources, and may not be listed
in the following years Visitors Guide until paid in full and my membership
may be subject to revocation.
Name: ________________________ Signature: ______________________________
Date: ______
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