Henderson, Nebraska
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Chamber Membership Form
Chamber Membership Form
Business Name
Contact Name
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Last
Address
Street Address
Address Line 2
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Country
Please include physical and PO Box if necessary
Phone
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Email
If adding more than one email address, please seperate each email with a ";"
Website
Product or service you would like to be listed under in the directory :
List no more than 10 categories. The first category you list will be used for the printed directory.
Year you began your business:
*
Membership Level
*
Commercial - $520
Business Plus - $250
Business - $170
Associate - $100
Supporter (Individual person) - $75
Pastor - $50
Please invoce us:
Annually - Total amount billed Jan 1
Semi Annually - Half of amount billed Jan. 1, June 1
Quarterly - Quarter of amount billed Jan.1, April 1, June, 1 Sept. 1
Monthly - 1/12 of amount billed 1st of each month
Preferred Type of Payment
Check - Please send an invoice in the mail
Credit Card - Please send an email invoice through PayPal
No Preference
Upload Business Logo
Max. file size: 300 MB.
2023 Sponsorship Opportunities
Please select the events/meetings you are interested in sponsoring during 2023
Monthly Meeting Sponsor
Gold - $350
Silver - $175
Bronze - $115
No Thanks
Invoiced Month of Meeting.
Month Preference for Meeting Sponsorship
No Preference
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Community Days
Platinum - $ 1,000
Gold - $350
Silver - $175
Bronze - $100
No Thanks
Invoiced June 1, 2023
Chamber Banquet Sponsor
Gold - $350
No Thanks
Invoiced on September 1, 2023
Trunk or Treat
Sponsor - $50
I would not like to sponsor Trunk or Treat
Invoiced October 1, 2023
Spirit of Christmas
Sponsor - $100
I would not like to sponsor Spirit of Christmas
Invoiced November 15, 2023
Logo
Drop files here or
Select files
Max. file size: 300 MB.
Part of membership with the Chamber is our ability to advertise for you. To do so, please include a logo for use in directories, posters, on web etc.
Authorizing Signature
*
Type your name to signify who completed this form.
Date
*
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