Application for Membership
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DATE OF MEMBERSHIP________________________________________ INDIVIDUAL NAME OR BUSINESS CONTACT____________________________ BUSINESS NAME _________________________________________________ NUMBER OF STAFF_____________ MAILING ADDRESS_______________________________________________ PHYSICAL ADDRESS_____________________________________________ PHONE____________________ FAX______________________________ EMAIL___________________________________________________________ CELL PHONE___________________________________ WEB SITE_______________________________________ FOR NON-PROFIT STATUS YOU MUST SUPPLY TAX ID #________________ |
Membership Fee Schedule
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Category: Individual Non-Business Member Non-Profit Organization Business (1-2 Staff) Business (3-5 Staff) Business (6-11 Staff) Business (12-15 Staff) Business (16-20 Staff) Business (21 and over Staff) |
Yearly $ 75 100 125 185 300 385 450 585 |
Make checks payable to Questa Vecindad Chamber of Commerce
Mail to: P.O. Box 1054, Questa NM, 87556
505 770 9293