Member Application - Neligh Chamber of Commerce

New Member Application

* Indicates required field

Company Name *

Phone Number *

Business Category *

Full-Time Employees *

Primary Contact

Name *

First

Last

Phone Number *

Email *

Part-Time Employees *

Physical Address *

Line 1

Line 2

City

State

Zip Code

Country

Membership Package *

Tier 1: $25.00 Youth membership Tier 1: $50.00 Youth Group Membership Tier 2: $75.00 Associate Membership Tier 2 : $125.00 Individually Owned Business Tier 2: $150.00 1-5 Employees Tier 2: $250.00 6-10 Employees Tier 2: $350.00 11+ Employees Tier 3: $350.00 Utilities Tier 4: $400.00 Bronze Tier 4: $500.00 Silver Tier 4: $700.00 Gold Tier 4: $1,000.00 Platinum

Submit

Neligh Chamber of Commerce | 105 E 2nd Street | Neligh, NE 68756 | 402.887.4447 | [email protected]