APPLICATION


Maywood Chamber of Commerce Membership Application


(Please Print )


Company Name Address City/State/Zip Website Phone Contact Person Title Phone Fax


E-mail Type of business Total number of employees Total number of years in business Drug-Free Workplace Policy? Y_____


N______ Membership Dues


Banks, Financial Institutions, Utilities .............................$200 Schools, Government, Professionals (Doctors, Attorneys), Churches & Not-for-Profits .......................................$100 Individuals (non-business owner) ................................. $35 Retailers, Restaurants, Manufacturers & Hospitals 1-10 employees .................................................. $75 11-25 employees ................................................$100 26-50 employees ................................................$200 51-99 employees ................................................$300 100+ employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$400 Summary


Application also available at : maywoodchamber.com


Dues ......................................................$___________ Shirley S. Nagel Memorial Scholarship Fund Donation .......$___________ General Meeting (9 Meetings @$10) . . . . . . . . . . . . . . . . . . . . . . . .$___________ Total $___________


Remit with payment to: Maywood Chamber of Commerce • P.O. Box 172 • Maywood, IL 60153


Marissa Martinez Branch Manager


708-836-7987 mmartinez@bpop.com 1700 W. Lake St. Melrose Park, IL 60160


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