MEMBERSHIP DUES & APPLICATION

Financial Institutions:
Single Branch	$180.00
Each Additional Branches	$160.00
Hospitals & Nursing Homes	$195.00 + $2.00 per bed
Individuals	$55.00
Lodging:
Bed & Breakfast	$90.00 plus $2.00 per bed
Other Lodging w/Food	$90.00 + $2.00 per room + $0.50 per seating capacity
Other Lodging w/out Food	$90.00 + $2.00 per room
Museums	$65.00
Non Profits	$70.00
Restaurants & Bars	$75.00 + $0.50 per seating capacity
Utilities	$290.00
Extra Business Listing	$30.00
Other Employers
0 - 10 employees	$90.00
11 - 20 employees	$125.00 + $1.00 per employee over 10
21 - 30 employees	$175.00 + $1.00 per employee over 20
31 - 75 employees	$250.00 + $1.00 per employee over 30
76 - 100 employees	$350.00 + $1.00 per employee over 75
101+ employees	$475.00 plus $1.00 per employee over 100

Lewis County Chamber of Commerce
7383-C Utica Blvd. Lowville, New York 13367
Ph. (315) 376-2213 • Fax (315) 376-0326

FIRM/INDIVIDUAL NAME _____________________________

APPLICANT'S NAME _____________________________

ADDRESS _____________________________

STATE _____________________________ ZIP _______

PHONE _____________________________

FAX _____________________________

WEBSITE _____________________________

E-MAIL _____________________________

NATURE OF BUSINESS _____________________________

NUMBER OF EMPLOYEES _____________________________

YEAR ESTABLISHED _____________________________

CHECK ENCLOSED $ _____________________________

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PLEASE BILL ME _______________________________

ON WHICH COMMITTEES ARE YOU AVAILABLE TO WORK?_____________________________

SPONSOR _____________________________

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