Greater Ukiah Chamber of Commerce | The Chamber

Member Application

*Company Name:

*Primary Contact:

Position:

Alternate Contact:

Position:

*Business Address

Street Address:

City, State, Zip:

Mailing Address:

Check if same as business address

Street Address

City, State, Zip:

*Work Phone:

Fax:

Web Site URL:

Business E-mail:

*Number of Employees:

Full Time: Part Time:

Choose a Business Directory Category(s):
Business Directory appear in various print publications, as well as linking from nearly every page on this website. You may select up to three categories into which your business fits.

Description of your business to appear with your website listing (up to 25 words):

*Select the appropriate annual investment for your business:
(A $50 ONE TIME processing fee is INCLUDED in the rates below)

Retail Manufacturing, Distribution, Service & Utility Firms:
Sole Proprietorship	$175.00
1-2 employees	$195.00
3-4 employees	$215.00
5-9 employees	$230.00
10-15 employees	$320.00
16-20 employees	$360.00
20-24 employees	$380.00
25-40 employees	$440.00
41-49 employees	$500.00
50-59 employees	$760.00
60-69 employees	$780.00
70-79 employees	$800.00
80-89 employees	$825.00
90-99 employees	$900.00
100-149 employees	$1050.00
150-199 employees	$1075.00
200-249 employees	$1100.00
250-350 employees	$1150.00
351-500 employees	$1170.00
501 + employees	$1200.00
Professional Associates (Real estate, Legal Firms, etc.):
Per Associate	$185.00
Individuals (non Business):
Per Person	$175.00
Retired Professional:
Per Individual	$150.00
Service Club and Churches:
Per Organization	$175.00
Contact Chamber to verify your credit card payment or you will be invoiced
To submit this form, please enter the characters you see in the image:

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309 E. Perkins St. Ukiah • CA 95482 • (707) 462-4705 • Contact Us • email: ukiahchamber@gmail.com