Member Application

Please fill out the application below and return to:
Aitkin Area Chamber of Commerce, PO Box 127 or 114 Minnesota Ave. N Aitkin MN 56431

NEW MEMBER APPLICATION


___________________________________________
Business
___________________________________________
Contact Person
_________________________________________
Street/P.O. Box
___________________________________________
City/Zip
___________________________________________
Phone Number
___________________________________________
E-mail Address or Fax Number

$____________ Payment enclosed

Please check Membership category
__________Regular Member (1-5 employees/$115, 6-10 employees/$145, 11-15 employees/$175, 16-25 employess $275, 25+/$450)
__$100____Independent Contractor
__$100____Associate Member
__$60 ____ Patron Member
__$40 ____ Individual
__________Experience Plus Member ( $20/single, $30/couple)

Thank you for your support of Aitkin!