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Hungary Iceland India Indonesia Ireland Islamic Republic of Pakistan Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao P.D.R. Latvia Liechtenstein Lithuania Luxembourg Macao S.A.R. Macedonia (FYROM) Malaysia Maldives Malta Mexico Mongolia Montenegro Morocco Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Panama Paraguay People's Republic of China Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Republic of the Philippines Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: * Line 2: City: * State / Province: * ZIP / Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Brazil Brunei Darussalam Bulgaria Cambodia Canada Caribbean Chile Colombia Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Honduras Hong Kong S.A.R. Hungary Iceland India Indonesia Ireland Islamic Republic of Pakistan Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao P.D.R. Latvia Liechtenstein Lithuania Luxembourg Macao S.A.R. Macedonia (FYROM) Malaysia Maldives Malta Mexico Mongolia Montenegro Morocco Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Panama Paraguay People's Republic of China Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Republic of the Philippines Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Primary Contact Information First Name: * Last Name: * Title: Phone: * Cell Phone: Fax: Email: * Contact Preference: Email Phone Social Networking: LinkedIn Facebook Twitter Yelp Address Same as Company Address Line 1: Line 2 City: State / Province: Zip / Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Brazil Brunei Darussalam Bulgaria Cambodia Canada Caribbean Chile Colombia Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Honduras Hong Kong S.A.R. Hungary Iceland India Indonesia Ireland Islamic Republic of Pakistan Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao P.D.R. Latvia Liechtenstein Lithuania Luxembourg Macao S.A.R. Macedonia (FYROM) Malaysia Maldives Malta Mexico Mongolia Montenegro Morocco Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Panama Paraguay People's Republic of China Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Republic of the Philippines Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Membership Options Membership Package: * Commercial Co (1-5 employees): $325.00 When number of employees are between 1 and 5 at the time of application. Commercial Co (6-10 employees): $450.00 When number of employees are between 6 and 10 at the time of application. Commercial Co (11-20 employees): $525.00 When number of employees are between 11 and 20 at the time of application. Commercial Co (21-35 employees): $650.00 When number of employees are between 21 and 35 at the time of application. Commercial Co (36-50 employees): $725.00 When number of employees are between 36 and 50 at the time of application. Commercial Co (51-100 employees): $1,000.00 When number of employees are between 51 and 100 at the time of application. Commercial Co (101-250 employees): $1,500.00 When number of employees are between 101 and 250 at the time of application. Commercial Co (251-500 employees): $2,000.00 When number of employees are between 251 and 500 at the time of application. Commercial Co (501 or more employees): $2,500.00 When number of employees are 501 or more at the time of application. Independent Contractor: $250.00 Independent Agents, etc 501c (3) NonProfit: $200.00 Charitable organizations with less than 5 full time employees Home Based Business: $125.00 Home Based Business Additional Fees: One Time Setup Fee This $50 fee is only applicable for new members. Additional Opportunities: We will contact you with additional information. HomePage Banner Ad Prime position for a 225x180 px banner ad that will appear at the top of the Chamber's homepage. Fee is $250 p.m. billed quarterly. Top of Page Ad Banner This 550 x 80 px sized web banners will appear at the top of choice webpages. The fee is $200 per month, billed quarterly. HomePage LowerHalf Front Page position on the lower half for this banner ad 225x180 px. Fee is $ 180 p.m. billed quarterly. Payment Option: Charge my credit card In the effort to fight spam, please provide the answer to the following question. What is the sum of 1 plus 1?: * Print Application