Member Application

Fairfield Chamber of Commerce 2012-2013 Investment Schedule:
Applies July 1, 2012 through June 30, 2013
2012-2013 Investment Schedule
0-2	Owner + Employees	$285.00
3-7	Owner + Employees	$340.00
8-13	Owner + Employees	$454.00
14-19	Owner + Employees	$567.00
20-29	Owner + Employees	$680.00
30-39	Owner + Employees	$880.00
40-49	Owner + Employees	$1.053.00
50-99	Owner + Employees	$1,293.00
100+	Owner + Employees	$2,041.00
Membership Investment Calculation:
Your Membership Investment is based on the number of equivalent full-time employees on the payroll as of 7/1/12 or when approved for membership, whichever is later.
If a real estate is a member, any agent acting as an independent contractor can join for the discounted rate of $160.00. This is considered an “associate” membership.
A bank’s investment is based on a formula using the FDIC dollars on deposit in the Fairfield/Southport area, with a minimum fee of no less than $600.00 per branch.
Out of Town corporations with more than 30 employees pay a flat fee of $600 annually.
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FOR INQUIRIES ONLY


Member Application:
* Company Name:
* Phone:

* Physical Address:

* City/State/ZIP:
Country:

Mailing Address:	Same as physical address


City/State/ZIP:
Country:

Business Category:
Employees:	Full-time: Part-time:
Comments/Questions:


Primary Contact Information:
* Name (First / Last):	/
* Phone:
* Email:
Contact Preference:	Email Phone
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Address:	Same as Company Address


City/State/ZIP:
Country:




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