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3288 Post Road
Warwick, RI 02886
(401) 732-1100
FAX: (401) 732-1107
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m e m b e r s h i p a p p l i c a t i o n

Business Name:
Type of Business: Business Categories Available
Employees:	Full Time:		Part Time:
Address:
City
State:			Zip:
Telephone:			Fax:
Cell Phone:
Website:
E-mail:
Contact Person:
Name of CEO/Manager:
Referred By:
Chamber Representative Assisting You:			Lauren Slocum Maria Puleo Krisytn Jodat Gerry Hamilton Yvette Mellin Other Please tell us who to thank.
Annual Membership Investment:
Membership investments are calculated using a formula based on the number of employees in the business and is structured as follows:
1-5 employees		$295	11-20 employees	$475
6-10 employees		$350	21-25 employees	$600
Add an additional $10 for each employee over 25. Please enter the number of employees below and determine your investment based on the chart above. Or Consider Being A "Partner-in-Progress"

Total Employees =
Membership investment may be paid by check, Visa / MasterCard, Discover or AMEX
Payment Method:
Name of Cardholder:
Account Number:
Exp. Date:
Billing Zip Code:
Billing Street Number:
4-digit Customer Code (on front of card if available):
3-digit Security Code (on back of card):
Amount:
OR USE OUR Easy Pay Option* - via Your Credit Card* Please complete this form and make your selection below $295 = Frequency Monthly ($26.00) Quarterly ($78.00) $350 = Frequency Monthly ($31.00) Quarterly ($93.00) $475 = Frequency Monthly ($41.00) Quarterly ($123.00) Cancel Easy Pay Selection I'd like to take advantage of the following member benefits immediately: (please check all that apply) Business After Hours (Networking) Coffee Connection (Morning Networking) Donate a Door Prize (Company Visibility) Discount subscription to Warwick Beacon Discount subscription to the Cranston Herald Free Internet Listing and Link LEADS Luncheons Publish Articles in ChamberWorks (a statewide publication) Offer REWARDS Discounts Marketing / Advertising Opportunities Group Health Insurance Assistance Programs and Opportunities for Personal and Professional Growth Trade Shows Small / Homebased / Home Office Business Assistance Leadership Training Business / Education Partnership (Mentoring, Career Day Participant) Legislative Action / Increased Representation at the State House Volunteer Service Breakfast / Lunch Programs & Workshops I am a looking for opportunities in... Business-to-Business Business-to-Consumer
Explore the Opportunity of Business Growth Join the Central Rhode Island Chamber of Commerce To make Central Rhode Island an even better place in which to live and work, I/we subscribe annually to the Central Rhode Island Chamber of Commerce; I/we agree to renew this membership each year until written resignation has been presented to the Board of Directors.

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