Membership Application

Downloadable Application form

Dues structure:  Fair Share - based on the size of your business  
Base is $310/year (anniversary date renewal) 
Download the application for more information or call us for assistance

Click here for Business Categories

For the purpose of promoting the commercial, industrial, educational and civic interest of the Jefferson City area, the undersigned subscribes for membership. The primary term of this contract shall be for one year and shall be continued for consecutive terms of one year or until terminated in accordance with the Bylaws.

Business or Organization
Type
Main Contact
Title
Please select one
 Mr.  Mrs.  Ms.  Miss  Dr.
 
Business Address
Billing Address (if applicable)
Phone
Fax
Business Info E-mail
Main Individual E-mail
Web
Business Category
# of Employees
Full-Time
Part-Time
Date Estab (MM/DD/YY)
Business Description for on-line directory
Key Words for on-line directory search
Membership Type

* Each organization is allowed one member for the base rate, plus one member for each additional $100 paid.

* An additional $20 fee for new members will be charged for administration expenses. This fee does not apply to second and subsequent year members

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