Registration

Become a Member :                 "A CHAMBER WORKING FOR YOU"






Membership Registration Form:



Name:__________________________________________________________________


Company________________________________________________________________
_
Address_________________________________________________________________


City ________________________State_________________Zip____________________
_
Phone______________________    Fax_______________________________________

Email______________________________________Website______________________
 






Circle the appropriate box below and return this form with a check

made payable Greater Dayton African American Chamber

 
 Send to :       


                     Greater Dayton African American Chamber  of Commerce  

                                       P.O. Box 289 Dayton, OH 45409
     

ANNUAL MEMBERSHIP FEES                                                DESCRIPTION:

Corporate Level III -    $2500                                             Gross Sales-$10M +
Corporate Level II-      $1000                                              Gross Sales-$2.5M-$9 M
Corporate Level I-         $500                                               Gross Sales Up to $2.5M
Municipality       -           $500
Small Business Level ll- $500                                               Gross Sales up$300,000
Small Business Level l - $150 
Non-Profit Org.              $150                          
Supporting Member        $50