Application Forms
and renewals
by Anita Bjorling
June 24, 2009
Membership Application
Name of Business or Organization:_________________________________
Contact person:_____________________________ Date:_____________
Address:___________________________________ Phone:______________
Type of Business or Organization:_________________________________
Years in business in Eureka:______ Years of Chamber membership______
Events you would be interested in supporting financially or as a volunteer:
Eureka Days____ City Wide Garage Sales___ Annual Banquet____
Ladies-night-out____ Shop-at-home___ Kids Fest____ Craft Show___
Christmas Parade____ Delivery of the Chamber Chatter___
Please check one of the following membership levels:
____Chamber Patron: $1,000.00
____Chamber Partner: $500.00
____Chamber Member: $150.00
___Chamber Associate $25.00(individuals)
___Chamber Ambassador: no cost (High School Students)
Please send the completed form to the Chamber office.
Make checks payable to :
Eureka Area Chamber of Commerce
Mail to:
309 N. Oak or P.O. Box 563
Eureka, KS 67045
Our members are very important to us at the Chamber. We welcome your ideas and suggestions. Please let us know if there is anyway that we can serve you better. We'd love to hear from you!
