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Bel Aire Chamber of Commerce Membership Application

2. Name*

3. Business Name*

5. Address*

7. City*

8. State*

9. Zip Code*

11. Phone Number*

12. Fax Number

14. Email Address

15. What is the exact number of employees for you organization?

17. Annual Dues*

    Annual Dues are payable when an organization joins and are paid annually in January of each year based on the number of employees in an organization. Dues are not prorated by date of membership application. Please check the box that contains the total number of employees for your organization.

    1. 0 - 4 Employees ($25)
    2. 5 - 9 Employees ($50)
    3. 10 - 20 Employees ($75)
    4. 21 - 49 Employees ($100)
    5. 50 or more Employees ($150)
18. Dues Payment
    <strong>Please make checks payable to:</strong><br><br> Bel Aire Area Chamber of Commerce<br><br> <strong>Please send this form and payment to:</strong><br><br> Bel Aire Area Chamber of Commerce<br> 7651 East Central Park Avenue<br> Bel Aire, KS 67226<br>

    Please make checks payable to:
    
    Bel Aire Area Chamber of Commerce
    
    Please send this form and payment to:
    
    Bel Aire Area Chamber of Commerce
    7651 East Central Park Avenue
    Bel Aire, KS 67226
    

20. Questions
    The Bel Area Area Chamber of Commerce is a 501(c)(6) organization licensed with the State of Kansas and IRS. If you have any questions regarding the organization please call 316-744-2451, ext. 220.

    The Bel Area Area Chamber of Commerce is a 501(c)(6) organization licensed with the State of Kansas and IRS. If you have any questions regarding the organization please call 316-744-2451, ext. 220.

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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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