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Please print the application (use the print icon to the right of this page) and mail with your membership fee to: Butts County Chamber of Commerce, PO Box 147, Jackson, Ga 30233. If you have any questions, please give us a call at 770-775-4839 APPLICATION FOR MEMBERSHIP BUTTS COUNTY CHAMBER OF COMMERCEBusiness Name: ________________________________________________________________ Business Address: ______________________________________________________________ Mailing Address: ________________________________________________________________ City: _____________________________ State: _________________ Zip: __________________ Email Address: _________________________________________________________________ Web Address: __________________________________________________________________ Telephone: _______________________________ Fax: _________________________________ Main Represenative (Owner-Manager): ______________________________________________ Additional Represenative: _________________________________________________________ ______________________________________________________________________________ Business Classification: __________________________________________________________ Main Products or Service: ________________________________________________________ Annual Dues (see membership fees): $________________ Check # __________ Cash: ________ Desired Member Login Username: ______________________ Password: ___________________ Signature: ________________________________________ Date: ________________________ Would your be willing to participate in the Gift Certificate Program? _______________________ Would you be willing to serve on a Chamber Committee or be an Ambassador? ______________ Some of the committees: Visitor Center/Tourism, Small Business Development, Resident Industry, Business After Hours, Annual Banquet, Golf Tournament, Picnic, Leadership Butts, Christmas Parade, Halloween on Second Street, Dogwood Festival, Fall Fest & Volunteer Program. BUTTS COUNTY CHAMBER OF COMMERCE MEMBERSHIP DUES RATE | 1 - 5 Employees | $100 | | 6 - 10 Employees | $125 | | 11 - 25 Employees | $175 | | 26 - 50 Employees | $225 | | 51 - 100 Employees | $300 | | 1-101 Plus Employees | $400 | | Banks ($10 per every million dollar deposit, min. $100, Maximum $400) | $400 | | Cable Companies | $200 | | Educational Institutions (Admin. Offices, School Boards, Each School) | $200 | | Hotel/Motels ($10 per unit, Min $100, Max $400) | $400 | | Professional (i.e. doctors, lawyers, accountants, etc.) | $200 | | Real Estate/Insurance | $200 | | Telephone Company | $400 | | Utilities (electricity, natual gas) $1 per meter, Min. $100, Max | $400 | | Individual, Non-Profit, Retired Persons | $50 |
Should you have questions, please give us a call. Please complete application accompanied by fee and mail to: Butts County Chamber of Commerce, PO Box 147, Jackson, GA 30233
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