This application is no longer valid. Please utilize the new online membership form here.
|
COMPANY INFORMATION (Please complete all boxes.) |
Full Company
Name: |
|
Year Established: |
|
Street Address: |
|
City: |
|
State: |
|
Zip: |
|
Mailing
Address: |
|
Mailing City: |
|
Mailing State: |
|
Mailing Zip: |
|
Telephone No.: |
|
Fax No.: |
|
Website: |
|
Email: |
|
No. of
Full-Time Employees: |
|
No. of
Part-Time Employees: |
|
Check (optional) if
you are a:
Woman-owned business women-owned
Minority-owned business
|
Race/Ethnicity: |
|
|
CONTACT INFORMATION
Main Representative |
Salutation: |
|
First Name: |
|
Last Name: |
|
Title: |
|
Email: |
|
|
AREAS OF INTEREST |
Areas of
Interest |
Benefit Programs
Economic Development
I would like to be enrolled in the Office Depot Savings Program.
I would like to receive a quote on workers comp group pooling.
Networking Opportunities
Legislative Advocacy
|
|
MEMBERSHIP
REFERENCE GUIDE LISTING
|
|
|
PAYMENT INFORMATION
There are several membership levels available. Please refer to the chart below for Base Dues or call the Chamber's membership department at 419-243-8191 to discuss upgrade options.
Place your payment amount on the line below. |
|
Membership Fee:
$
|
|
Dues to the Toledo Regional Chamber of Commerce are not
deductible as a charitable contribution but may be deductible as an
ordinary and necessary business expense. A portion of the dues,
however, is not deductible as an ordinary and necessary business
expense to the extent that the Toledo Regional Chamber of Commerce
engages in state and/or federal lobbying. The non-deductible portion
for this year is five percent.
I understand that chamber membership does not guarantee
acceptance into any Toledo Regional Chamber of Commerce benefit
program. I further understand that the chamber has a “no refund”
policy. All applications are subject to approval by the Toledo
Regional Chamber of Commerce Board of Trustees.
|
|