Corning Chamber of Commerce – Membership Application
Business Name:__________________________________________
Contact Name:___________________________________________
Title:___________________________________________________
Street Address:___________________________________________
Mailing Address:__________________________________________
City, State, Zip:___________________________________________
Phone:__________________________________________________
Email:___________________________________________________
Web Site:________________________________________________
Annual Membership Investment:
[
] Individual
- $35.00
[
] Non-profit
- $50.00
[
] 0-5
Employees - $75.00
[
] 6-10
Employees - $125.00
[
] 11-20
Employees - $175.00
[
] Over
20 Employees - $225.00
Additional Investment Opportunities:
[
] Gold
Membership - $100.00
Please Remit to: Corning Chamber of Commerce, 1110 Solano
Street, Corning, CA 96021