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
www.eldoradocounty.org ** members@eldoradocounty.org

*   Required Fields
 

 Sponsor

 

 Application Date

 

 * Firm or Organization Name

 

 * Representative's Name

 

 * Mailing Address

 

 * Location Address

 

 * City

 

 * State

 

 * Zip

 


 * Phone #1

 

 Phone #2

 

 Fax

 

 * Email

 

 Website

 

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



 GOLD MEMBER CONTRIBUTION

 Become a GOLD MEMBER by making an additional
$100 contribution

towards one or more of the following categories:

 Economic Development

 

 Film Promotion & Attraction

 

 Membership

 

 Chamber Choice

 

 Tourism Promotion & Attraction

 


 POLITICAL ACTION COMMITTEE
 (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)

 


You are ordering on a secure server.

Credit Card

  Visa       MasterCard  
    Discover Am Express

* Name on Card

 

* Card Number

 

* Billing Zip Code

 

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

 

Expiration

 


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


Verification Code:

Please enter verification code shown in box:


The CAPTCHA image
Audio version for the visually impaired
 

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