Membership Application

I. General Information
Business Name:
Contact:
Address:
Business Phone:
Business Fax:

II. Membership Dues
1-5 Employees $156.00 Non-Profit organization $100.00
6-20 Employees $218.00 Seniors (60 + ) $50.00
21-50 Employees $312.00      
101-250 Employees $468.00 Payment Method:    
251-500 Employees $781.00 Cash:  
Over 500 Employees $937.00 Check:  

III. Additional Company Information
Type of Business: Are you interested in a Grand Opening/ Ribbon Cutting Ceremony?
Services Offered: Yes
Referred By: No
Email:    
Website: When:

IV. Committee Information
Capitalize On Your Baldwin Park Chamber Membership and Get Involved!
Business/Business Person of the Year & Installation Officers Committee Adopt A School Committee
Golf Tournament Committee Citizen of the Year & Entrepreneurs of the Year Committee
Employee Recognition Lunch & Fashion Show Committee Membership Development Committee


Signature: Date:



For Office Use:
Membership Begins on: Membership Plaque Received On:

14327 Ramona Boulevard • Baldwin Park, CA 91706 • Telephone (626) 960-4848 • Fax: (626) 960-2990
Website: www.bpchamber.com • Email: robert@bpchamber.com