MEMBERSHIP APPLICATION

RENEWAL / RENUEVO

NEW / NUEVO

Business name :

Date :

Street Address & Suite

Year established :

City:

State:

Zip code:

Telephone

Fax

Website :

Business e-mail :

# of employees :

Contact person & title : Contact cell phone :

Contact e-mail :

SECOND BUSINESS Business name :

Date :

Street Address & Suite

Year established :

City:

State:

Zip code:

Telephone

Fax

Website :

Business e-mail :

# of employees :

Contact person & title : Contact cell phone :

Contact e-mail :

PAYMENT METHOD Name as it appears on the credit card:

Membership Level: Choose a Membership Level

Credit card number:

Visa: □ Mastercard □ American Express □

Credit card billing address:

Expiration Date :

City: Signature:

State

Zip code

Credit Card security code: Today's Date:

ANNUAL MEMBERSHIP LEVELS Business Leader Annual Gala VIP Table for 10 Business Mixer Exclusive Sponsor & 10 Minutes Logo on Chamber Home Page & Social Media Logo on Chamber Home Logo in Monthly E-newsletter Recognition by President at Special Events Recognition all SACOC Events Recognition Online Unlimited Business Category Listings Unlimited Listings of Reps Opportunity to Co-host Business After Hours Access to Member Directory Business Services Discounts Ribbon Cutting/ Grand Openings Sponsorship Opportunities Preferred Pricing for Events Network Opportunities Listing on Online Directory Electronic Mailing List New Membership Certificate New Member Recognition Membership Investment

☑ ☑ ☑ ☑ ☑ $200

Silver Level

☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ $1,000

Gold Level

Platinum Level

☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ $2,500

☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ $5,000

President’s Level ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ ☑ $10,000