Balch
Springs Chamber of Commerce Member Information Form
(Please Print)
Contact:
____________________________________________________________________
Address: ________________________________________________Ste:________________
City: ______________________________________________St__________Zip________
Phone:
___________________________________Fax:______________________________
Cell: ________________________________Pgr:_____________________________
E-Mail:___________________________________________________________
Would you prefer to have notices
regarding Chamber events e-mailed, faxed, snail mailed or phoned in? (Circle One)
Web Address: _____________________________________________________
Referred by:
______________________________________________________
Please accept my application for
membership in the Chamber of Commerce at the level indicated below:
$25
____ Individual (no company name)
$50
____ “Mom & Pop” Business / Non-profit (1 or 4 employees)
$100
____ Small Business Level I (5 to 50 Employees)
$200
____ Medium Business Level II (51 to 100 Employees)
$300
____ Large Business Level III
(101 or more Employees)
I am mailing my Membership Check ________
I am dropping off my Membership Check ________
I would like someone from the Chamber
office to pick it up ________
I would like to give Chamber Members a
Discount ________%
The information you provide will help
introduce your company product and services to other Chamber Members as well as
people who visit the web site.
Business Type:
___________________________________________________
Description of Product or Services:
_____________________________________
________________________________________________________________________________________________________________________________
Current Chamber Member Benefits Include:
Please check any committees on which you would like to
serve:
Fundraising_____ (Committee plans and
implements fund raising strategies to support community and Chamber events as
well as educational initiatives for Chamber members)
Membership_____ (Committee recruits new
members through membership drives and events and coordinates member benefits.)
Public Relations ________ (Committee
works on promoting the Chamber through fliers, press releases and positive
activities.)
Sunshine _____ (Committee assists on member events
such as birthdays, grand openings, etc.)
Special Events ____ (Committee works on
and at special events such as the Annual Fall Fest, Parades/floats, City wide
Christmas activities, etc.)
Office
________ (Volunteers assist in the office and/or with special events. Office hours
are Monday-Friday)
Board of
Directors _________ (Board serves as leaders of the Chamber in a variety of
functions.)
What type of speakers would you like to
see at the monthly luncheons?
What types of information would be
helpful to your business?
What committees do you think would
benefit the Community of Balch Springs and/or your business?
What projects do you think the Chamber
should focus on that would have a positive economic impact on the City of Balch
Springs?
What types of support is your business
willing to offer? Volunteers,
What amount of time (if any) would you
be willing to donate to make this a better Chamber and City?
(Circle one) once a week, every two weeks,
monthly, as needed
(Circle one) 1-2 hours at a time, ˝
day, whole day
Thank You for your input!
For office use only
Received _________ Web Site Updated ___________ Paid
Thru: ___________
Paid Check # _________ Money Order #
________ Cash ________ Initials ______