Membership Application [.pdf]
El Dorado County Chamber of Commerce
542 Main Street, Placerville, CA 95667
Ph: (530) 621-5885 or 1-800-457-6279 Fax: (530) 642-1624 **

*   Required Fields



 Application Date


 * Firm or Organization Name


 * Representative's Name


 * Mailing Address


 * Location Address


 * City


 * State


 * Zip


 * Phone #1


 Phone #2




 * Email




By listing your e-mail and/or fax number on this application you are consenting to the Chamber contacting you via e-mail or fax.

 No. of Employees
(Equivalent to full time)


 Business Description
(20 words or less)


I would like to participate in the Member to Member Discount program.
(see flyer for more details)

Please describe type of discount or attach sample.


Investmet Schedule Details


 Become a GOLD MEMBER by making an additional
$100 contribution

towards one or more of the following categories:

 Economic Development


 Film Promotion & Attraction




 Chamber Choice


 Tourism Promotion & Attraction


 (more details)

 Your Voluntary Contribution

  $ or $25.00
Notice about voluntary contributions
Contributions to Chamber PAC are nondeductible for federal income tax purposes.
The following notice is made to comply with federal election laws: the El Dorado County Chamber Political Action Committee, ID # 1341257, receive voluntary contributions from El Dorado County Chamber members. These funds are used to support pro-business candidates running for local and state office and measures of importance to the business community in the area we serve.

 Set Up Fee

  $   40.00

 Annual Membership Investment


 Gold Member Contribution
(Indicate Categories Above)


 Political Action Committee Contribution


 * Total


While not deductible as a charitable contribution for federal income tax purposes, paid membership dues are deductible for most members as an ordinary and necessary business expense. Membership dues are "Non-refundable".

 Members of the El Dorado County Chamber of Commerce are eligible to receive a membership plaque which will be presented at a chamber function. Please enter the information that you wish to have engraved on your plaque. Members will be notified prior to the presentation.

 Name of Business


Name of Individual (optional)


 Member Since (Year)


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Credit Card

  Visa       MasterCard  
    Discover Am Express

* Name on Card


* Card Number


* Billing Zip Code


* Security Code
(Last 3 digits on back of card)




I would like to take advantage of the automatic renewal option with above credit card.
*   Required Fields

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Page last updated: Wednesday, August 17, 2016 7:14 AM