Soda Springs Chamber of Commerce Application

Owner/Contact Name
Business/Organization Name
Mailing Address
Physical Address
City
State Please use the 2 capital letters state abbreviation
Zip/Postal Code First 5 numbers only
Business Phone ie. 208-547-0000
Other Phone
FAX
E-mail Address
Do you want your email address to show on your website listing?
Would you like to receive Chamber minutes and occasional emails from us?
Website Address
Business Description
Number of Employees ie. 10
Amount Due

 

Please see dues list below. (Do not include $ sign)
Owner / Operator $50.00  
Non-profit $50.00  
1 -5 Employees $75.00  
6 - 15 Employees $100.00  
16 - 25 Employees $125.00  
26 - 100 Employees $150.00  
101+ Employees $250.00  
Date
Check Number

Select up to 2 of the following categories that apply to your business.

Entertainment and Recreation Lodging and RV Parks
Government, Schools and Organization Realtors, Rentals and Title Companies
Health, Medical, Fitness Industries and Manufacturing
Retail Shopping Restaurants