2005-2006 Online Membership Application

Membership Dues
(2 part-time employees equals 1 full time employee)
Before we can add your business to the Chamber membership list, your membership investment must be received.

Employees (full time equivalent)	Annual Dues
Museums/libraries/clubs	$50
1-9	$150
10-20	$250
21 and over	$500

 
I am a: Renewing Member     New Member
 

Business Name:
Mailing Address:
Physical Location:
Town, State, Zip Code:
Phone:
Fax:
1-800 number, if applicable:
Contact Person:	First Name:	Last Name:
Email address:
Website:
Number of employees:

Would you like these listed in our Area Guide? Yes No
Would you like these listed on our Website? Yes No

Kent Wiles, President | Laurie Blake, Executive Director
407 Wilton Road | Farmington, Maine 04938
Tel. (207) 778-4215 | Fax: (207) 778-2438 | Email: info@fwcoc.org