Member Application

Business Information

Company Name: *

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Website:

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Business Description (200 char max):

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Employees: *

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Mailing Address

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Primary Contact Information

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Last Name: *

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Cell Phone:

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Address

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Billing Contact Information

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Email Phone

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Address

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Membership Options

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Basic Dues Structure: See fee schedule to determine the fee and enter it below.
$4.00 per each additional employee over 1 + $290.00 Base Rate Hotel, Motel, Bed & Breakfast Dues Structure: See fee schedule to determine the fee and enter it below.
$4.00 per room over 10 + $290.00 Base Rate Non-Profit Dues Structure: See fee schedule to determine the fee and enter it below.
Fewer than 26 employees costs $185.00 26-50 employees costs $290.00 Over 50 employees costs $350.00 Board of Education Dues Structure: $200.00
$200 Annually Municipality Dues Structure: $300.00
$300 Annually Financial Institutions: See fee schedule to determine the fee and enter it below.
$290 base plus $12 per million in deposits If using fee schedule, enter fee here:

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Contact Info

Chamber of Commerce of Eastern CTConnecticut
914 Hartford Turnpike
Suite 206
Waterford, CT 06385
P: 860-701-9113860-701-9113
F: 860-701-9902
Hours: Mon-Fri 8AM-5PM

Office

Hours: Mon-Fri 8AM-5PM

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