The Greater Bethesda-Chevy Chase Chamber of Commerce




'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); } else { document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); document.write('
'); document.write(''); }//Done hiding from old browsers. -->

Membership Application
(12-month membership)

* Required fields

Applicant Information:
* Applicant's Name:
* Title:
* Referred by:
* Referral's Company:
Primary Representative:
This person will be identified in our annual membership directory and receive all Chamber correspondence:
* First Name:
* Last Name:
* Title:
* Number of Full-Time Employees (round to nearest whole number):
* Years in Business (round to nearest whole number):
Company membership permits any employee to attend all Chamber events or serve on committees:
Additional Representative(s): (to be listed in the directory and receive all mailings)
Company Information:
* Company:
* Address:
* City:
* State:
* Zip:
* Telephone:
Fax:
Web Address:
E-mail:
* Please describe your business in 25 words or less:

Why did you join the chamber?


* Business Classification: (Each company receives one free category listing. If you do not see your classification please finish the form with the closest possible and contact chamber staff.)


Additional Business Classifications: (available for $25 each)
1.
2.
3.
4.

Annual Dues:

* Annual Dues:

Additional Representative(s):

$ (x $100 each)

Additional Business Classification(s):

$ (x $25 each)

Voluntary BCC PAC Contribution:

$ (eg $25-$100)

* Processing Fee:

$ (required)

Note: The Chamber fiscal year runs July 1 - June 30. The Greater Bethesda-Chevy Chase Chamber dues are not deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. A portion of dues, however, is not deductible as an ordinary and necessary business expense to the extent that the Bethesda-Chevy Chase Chamber engages in state or federal lobbying. The deductible portion of dues is 90%.

One year's dues and application fee are due upon date of joining. At one year anniversary of join date, a prorated balance to chamber's next fiscal year will be billed and due.

Note: Memberships are not transferable.

Payment Information:

* Method of Payment:

	VISA
	MasterCard
	American Express
	Check Payable to BCC Chamber of Commerce

* Credit Card Number:
(no spaces)

* Expiration Date:
(10 / 2003)

* Name on Card:

Total:

Membership Application (12-month membership)

Membership Application
(12-month membership)