Yucaipa Valley Chamber of Commerce 35139 Yucaipa Blvd.

. Yucaipa, CA 92399 Phone (909) 790-1841 Fax (909) 363-7373 info@yucaipachamber.org

MEMBERSHIP APPLICATION Member Information

Business Name*: Contact Name: Title: Business category*:
(Category choices on reverse)

Website*: Phone*: Fax*:

State: Zip Code:

Send emails about YVCC events, programs and business-related Issues. Do not send emails.

Street Address*: City: E-mail:

* As it will appear in Chamber database, business directory listing, website and referrals.

Signature:
*FCC regulations require your signature to confirm your permission for YVCC to communicate with you.

Yucaipa Business License #______________________ (A business must have a Yucaipa business license before joining the chamber.) Date your business opened:

Company Billing Address Same as above

Contact Name: Street Address: City: State: Zip Code:

How did you hear about the YVCC?

Reason for joining the YVCC:

Are you a home-based business?

Yes

No

Membership Investment
Number of Employees (including owners)
Circle One: Card #:

Payment Options
Check Cash Visa MasterCard

For single payment

Membership Investment (see investment schedule on reverse) One-Time Processing Fee Yucaipa FIRST! Total to be paid

Expiration Date: Name on Card: Signature:

CVV Code:
(3 digit code on the back of card)

$ $ 20.00 $ 25.00 (OPTIONAL) $

Credit Card Billing Address (including zip code):

Same as company billing address

For 3-month payment plan

Membership Investment (see investment schedule on reverse) Total monthly payment
First months payment: Processing fee of $20 will be added

Please return this form with your payment to:

$ $ 20.00 $ 25.00 (OPTIONAL) $

Yucaipa Valley Chamber of Commerce 35139 Yucaipa Blvd. Yucaipa, CA 92399 or Fax (909) 363-7373 Online Application: www.yucaipachamber.org.

Yucaipa FIRST!
Total first months payment

Yucaipa Valley Chamber of Commerce is dedicated to promoting a vibrant business environment by cooperative interaction among business, government, and community.

For chamber use: Date Recd: ________ CM___ QB___CC___ Date letter mailed_____

For Yucaipa FIRST use: WP____ EM_____ Word____

Membership Annual Investment Schedule

Choose single payment or 3-month payment plan (single payment saves 10%)

Membership category
# of FTE employees including owners

Membership Dues
Payment Method 3 monthly* Payments One-time pay (save 10%)

Membership category

1-8 employees 9-14 employees 15-20 employees 21-49 employees 50+ employees Financial Institutions or Public Utilities
*3Month

$59 $68 $79 $92 $100 $100

$160 $185 $215 $250 $275 $275

Civic-Minded Individuals (do not own a business or is not an employee of a business, i.e. retired) Non-profit Organizations 501c3#: ________________ Affiliate Membership (Independent contractors who are under a Business Member, i.e., Realtor, Beautician, etc. or 2nd business owned)

$55

$70

$65

Payment Plan: Members must present credit card for monthly charges or automatic ACH payments, and agree to be billed full amount over a 3-month period. Renewals after one year are optional.

Business Categories
Advertising & Media Air Conditioning & Heating Alarm Systems Ambulance Animal/Pet Services Architect Art Center Assisted Living Automotive Awards/Trophies Banks Beauty/Skin Care Bike Shop Book Store Business Services Camp Grounds Carpet/Upholstery Cleaning Casino Catering/Food Service Churches Cleaning Computers/ Telecommunications Construction Contractors Convalescent Convenience Store Counseling Credit Union Custom Closets Dental Dermatology Development Dry Cleaning Education Electrical Supplies Embroidery Engineering Engraving Event Facility Event Planning Executive OfficeSuites Financial Planning Flooring Florist Furniture Garage Doors Gardening General Contractor Golf Course Government Graphic Design Grocery Store Hardware Store Health & Fitness Hearing Aids Home Repair Services Hospital Housing In-Home Care Individual Insurance Interior Decorating Internet Services Janitorial Land Development Landscaping Law Enforcement Legal Services Library Loans Lodging Martial Arts Massage Medical Membership Mental Health Mobile Spa Mortgage Mortuary Motel Museum .Music Lessons Newspaper Non Profit Organization Nursery Optometry Organizations/Clubs Orthodontics Pawn Shop Pediatric Pharmacy Photography Physical Therapy Plumbing Pool Construction/Repair Printing Promotional Public Utilities Publishing Ranches/Farms Real Estate Residential Care Resort Restaurant Retirement Living School Senior Services Shopping/Retail Signs/Banners Solar Company Sporting Goods Storage Tax Preparation Termite/Pest Control Travel Agent/Agency Treatment Facility Urgent Care Water Services Wedding Planner Wholesale Warehouse Other