Membership Application

Please fill out this form or print and return with payment to the
Homewood Chamber of Commerce
P.O. Box 59494
Homewood, AL 35259

Click here to download a PDF version.

Your investment is a commitment to the growth and prosperity of Homewood, therefore an investment in the future prosperity of your own business.

Questions? Call us at 871-5631.

* Firm Name:
* Designated Representative:
Title:
Referred for Membership by:
Street Address:
(cont.):
City:
State:
Zip Code:
Mailing Address (if different):
City:
State:
Zip Code:
Phone:
Fax:
* Email:
Would you like to receive notices
of upcoming events by
Email or businessFax?
Web Site Address:
Type of Business:

Payment Method: Credit Card Invoice
Card Number:
(enter without spaces)
Expiration Date (mmyy):
We accept Visa, MasterCard, American Express, and Discover

 Fair Share Dues
  • Churches and Non-Profits $100
  • 1-10 Employees $175
  • 11-49 Employees $250
  • 50-100 Employees $375
  • 100 and up Employees $500
 
 Business Profile
Employee fair share dues are based on an average annual number of employees and/or agents in the business applicants location. Two part-time employees equal one full-time employee.
 
Total Number of Employees:
Full Time:
Part Time:
 
Payment of investment must accompany application. Membership dues may be tax-deductable as a business expense but not as a charitable contribution. Checks and credit cards are accepted.
 
We will contact you for payment information.
* required field