Soda Springs Chamber of Commerce Application

9 West 2nd South - P.O. Box 697 - Soda Springs, ID 83276
(208) 547-4964 Voice Mail   -   (208) 547-2601 Fax
Website www.sodachamber.com - Email sodacoc@sodachamber.com

Please complete this form as much as possible. The information on this form is what we use to update our records and our website. Mail or deliver this form to our office along with your membership dues.
Please Print clearly:

 Business Name: _____________________________________________ Phone:____________________

 Physical Address:____________________________________________ Other Phone:_____________________

 Mailing Address:_____________________________________________ Fax:_____________________ 

 City___________________________________________ State________  Zip __________

 Owner Name/Contact Name:_____________________________________________ Title__________________

 E-mail:  _______________________________________________ Include email on website listing?  Yes  No

 Website Address:_________________________________________________________________

 Description of Business/Organization: (Maximum 25 words)
 _______________________________________________________________________________________________

 _______________________________________________________________________________________________

Would you or a representative from you business like to be on the Chamber Board?   Yes  No

Place a check mark up to two categories that best describes your business.
  Entertainment and Recreation   Lodging and RV Parks
  Government, Schools and Organization   Retail Shopping
  Health, Medical, Fitness   Restaurants
  Industries and Manufacturing   Realtors, Rentals and Title Companies
 

Membership Dues 2007 -2008

The Chamber Membership year is from June 1st to May 31st. The table below shows the dues for the membership yer. Please look over the table and find the amount that best fits your business or organization.
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  
Number of Employees:_____ Amount Paid: $____________  Today's Date:___________