Bolivar Area Chamber of Commerce - Helping the Area Grow... Come Grow With Us!

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Membership Application

To apply for membership, please fill out the form below. You may either submit the form electronically, or print it for faxing or mailing to us. Please note that all fields are required.

Date
Business Name
Contact Name
Contact Title
Year Founded
Address
City
State		Zipcode
Phone Number
Fax Number
E-mail
Website
Business Description
Please check the applicable rate. * * Membership dues are based upon the number of employees in your business. Two (2) part-time employees equal one (1) full-time employee. Businesses have the option of paying dues quarterly - see the Dues Schedule on the Benefits page.	Annual Fee	Membership Type
	$50.00	Individual (non-business)
	$50.00	Church or Civic Club
	$160.00	Business, 1-5 employees
	$185.00	Business, 6-10 employees
	$210.00	Business, 11-20 employees
	$310.00	Business, 21-30 employees
	$410.00	Business, 31-50 employees
	$510.00	Business, 51-100 employees
	$760.00	Business, 100+ employees
I prefer to pay dues on a quarterly basis. (Businesses only.)
No application accepted without fee - if you wish to submit this form online or via fax, you will receive an invoice from the Chamber of Commerce for your Application fee. Or, if you prefer to print and mail this form, please include a check or money order, and mail to:
Bolivar Area Chamber of Commerce 454 S. Springfield, P.O. Box 202 Bolivar, MO 65613
I hereby make application for membership in the Bolivar Area Chamber of Commerce, and if this application is favorably acted upon, agree to abide by the By-laws and Rules of the Association.

Prefer to print and mail the application?

To print a blank
Membership Application,
please click HERE.