|
| Contact Name: |
|
|
The Basic
|
|
Employees |
Donation |
|
4 or fewer |
200 |
|
5-14 |
275 |
|
15-29 |
400 |
|
30-49 |
625 |
|
50 Plus |
800 |
|
The Membership Plus |
|
The New Intro |
550 |
|
The Main One |
1,000 |
|
The Main One Plus |
1,500 |
|
The
Corporate |
|
Corporate Mate |
1,500 |
|
North Kenwood |
2,500 |
|
Douglas |
3,500 |
|
Grand Boulevard |
7,500 |
|
Washington Park |
10,000 |
|
Bronzeville |
25,000 |
|
Contact us for any questions
|
|
Individual
Non Profit and Students |
|
Students |
100 |
|
Individual |
150 |
|
Not for Profit |
Less 50 |
|
Thank You … for the opportunity to serve!
|
|
| Business/
Organization: |
|
| email (if any) |
|
| Street Address: |
|
| City: |
|
| State: |
|
Zip:
|
Mailing Address
If different from address above |
|
| City: |
|
| State: |
|
Zip: |
| Phone: |
|
| Fax: |
|
Website:
If Any |
|
CEO or
Local Senior Official |
|
Person
to Receive Dues Invoice
(if different from above) |
|
| Additional
Representatives for Corp, NPF, Orgs. |
|
| Sponsored By |
|
| *Type
of Business |
|
| # of Employees at Membership Location |
|
Would your business be interested in participating in
the business to business membership discount program?
Yes
No
Please send me more information
Payments
can be made by credit card online. Please Complete the form. Once you submit
you will be given payment options. |
|
or
|
