Spring Valley Chamber Membership Form

Spring Valley Chamber of Commerce Membership Form

First Name *
Last Name *
Job Title
Organization Name
Street Address *
City *
State *
Zip *
Phone *
Fax
Email *
Website

Please, choose the membership level that describes your company:

	Business 1-5 Employees	$100.00
	Business 6-10 Employees	$150.00
	Business 11-19 Employees	$200.00
	Business 20-99 Employees	$350.00
	Business 100+ Employees	$550.00
	Church/Club/Nonprofit Org.	$50.00
	Associate Member	$50.00

Check below if you are a new member.
One Time Administration Fee - $25.00

Total Cost =

If you prefer, mail your form and check to:
Spring Valley Chamber of Commerce
3322 Sweetwater Springs Blvd. #202
P.O. Box 1211
Spring Valley, CA 91977