Join today to get the full benefit of your Chamber membership; January 1, 2009 to January 1, 2010

Business Name__________________________________________________________________

Mailing Address of Business______________________________________________________________

Phone Number of Business______________________________________________________________Contact Person_______________________________________________________

Email_________________________________________________________________   Website_______________________________________________________________

Membership Category and Dues:

Please pay dues for each business you want listed in the Chamber’s membership directory.

_____ $ 200     government groups

_____ $ 100     business with 13 or more employees

_____ $ 75      business with 6-12 employees

_____ $ 50      business with 1-5 employees

_____ $ 50      churches, clubs, non-profits, and organizations

_____ $ 25      individual community members

Mail this form with check to: Hayden Chamber of Commerce      P.O. Box 517       Hayden, Co.    81639