Richfield Area Chamber of Commerce
             
Chamber Membership Form



**Please count 2 part-time employees as 1 full-time employee.**
 
Standard: 10 or fewer full-time employees:   $200.00   Select:   Item Subtotal:  
$0.00
Business Name
Number of employees
Standard: 11 or more full-time employees:   $275.00   Select:   Item Subtotal:  
$0.00
Business Name
Number of employees
Standard: Individual joining outside of a business:   $65.00   Select:   Item Subtotal:  
$0.00
 
Total:
$0.00
Business Representative Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
 
Payment Information:
Processing Fee Rates:
Cards:2.9% plus $0.30
eCheck:$0.55
Method of Payment:
 Update Name from Personal/Organizational Information
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
 Change Payment Method
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