Niagara USA Chamber

Check any of the following promotional and involvement opportunities you may be interested in:
Event SponsorshipOnline AdvertisingNewsletter AdvertisingCommittee Involvement

Company Name:

Category of Business:

Address 1:

Address 2:

City:

State:

Zip:

Phone:

Fax:

Email:

Website:

Company Representative:

Title:

Additional Contact(s) -

Non-Profit?:
YesNo

Number of full time employees:

Number of part time employees:

Business Description:

Date Business Established:

Sponsor:

Interested In:
Health InsuranceEnergy ServiceDental InsuranceTelecommunication Service

Member Investment Information:
One representative is included with each membership
Businesses - 1-10 Employees •••••• $225
11+ employees •••••• add $3 per full time employee

Hotel & Motel •••••• $225 plus $2 per room
One company representative is included with each membership, plus $2 per room and $100 per restaurant and/or banquet facility.

Not-for-Profit Corporations •••••• $180

Banks, Utilities, Colleges/Universities, Media, Health Care Facilities •••••• Negotiated Rate

Additional Business Membership •••••• $100
Individuals whose primary business is an Active Member may enroll an additional wholly-owned business for an annual fee of $100 per business; one representative with membership.

SPONSOR OPPORTUNITIES AVAILABLE •••••• Inquire

Associate Canadian Membership •••••• $75

Application Fee:
Add $20

Voluntary PAC (Not required - donation to political action committee is voluntary)
Add $75
YesNo

Total Amount:

Please submit this form and send your check to:
NIAGARA USA CHAMBER 6311 Inducon Corporate Drive Sanborn, NY 14132