Application

Wickliffe Area Chamber of Commerce

The Provo House
28855 Euclid Avenue
Wickliffe, OH 44092
Phone (440) 943-1134

Fax (440) 943-1114

Monday-Thursday

9am - 4:30pm

Charles Haskell

Executive Director

Membership Application

By completing this form, you are applying for membership in the Wickliffe Area Chamber of Commerce. The rate schedule below is based upon the number of employees that you have on staff. Please enter the number of employees in the appropriate area below. The information is forwarded to our office and you will receive an invoice for membership dues within five working days. Thank you for your interest in the Wickliffe Area Chamber of Commerce.

Company
Full Name
Title
Address
City
State
Zip
Area Code
Phone
Fax Area Code
Fax
E-Mail Address
Web Site
Number of Employees
Type of Business
Business Description

Dues Investment Schedule

based on number of employees

1 - 5 = $100	101 - 250 = $400	Not for Profit = $125
6 - 15 = $110	251 - 500 = $700	Non-Profit = $60
16 - 25 = $125	501 - 1000 = $950	Civic = $40
26 - 50 = $200	Over 1000 = $1,500	Retirees = $25
51 - 100 = $275	Banks, S&L's or Utilities = $375