Become a member of the Chamber (print out this page)

Membership dues are governed by number of employees:
0 to 4, $75.00; 5 to 9, $100.00; 10 to 24, $150.00; 25 to 49, $200.00; 50+, $250.00;
Education/Government/Media*, $50.00; Other**, $50.00.

*  Educational, Governmental and Media Institutions/Agencies
** Non-business members, Civic, Social and Not-For-Profit organizations

Make checks payable to/mail to:
The Greater Hillsboro Chamber of Commerce 
P.O. Box 225, Hillsboro, MO 63050
(Please mark "Dues" on the check's notation line)

Company/Organization Information

New Membership _____           Renewal ______           Renewal with Changes ______

Salutation: _____  First Name: _________________  Last Name: __________________

Title: ______________________  Company Name: ______________________________

Contact Person (if different from above): ________________   Number of Employees _____

Address: _____________________________  City: ___________________  Zip: ______

Telephone: ______________________  Fax: _______________________

E-Mail: __________________________________   Web Site: _____________________
E-Mail Address and Web Site will be listed on www.hillsboromo.org unless specified otherwise

Brief Description of Business: ____________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________