Membership Registration

Membership Registration
Business Name
Business Description
Primary Contact

First NameLast Name
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Primary Email
Website
Committee Preferences

If you would like to belong to one of the following committees please let us know.
Check any that you would like to be part of.

Communication/MarketingEducationDelta State Community ActionGovernment AffairsInfrastructureLeadershipKeep Cleveland BeautifulMembershipRetirement
Membership Fees

Please calculate the fees by using the chart below and enter that amount when redirected to Paypal.
Type Of Membership
Business members need to add $15 for each employee 1-9. 10+ employees add $10 for each employee.
FINANCIAL INSTITUTIONS: $30 per million dollars of deposits ($450 min./$2,500 max.)
HOTELS/MOTELS: $200 for base member and $2.50 per room
MFG./DISTRIBUTION/AGRICULTURE: $200 for base member and 1-9 employees add $15 per employee, 10-20 employees add $5 per employee, 21-50 employess add $2.50 per employee, 51+ employees add $1.25 per employee
PROFESSIONAL SERVICES: $200 for each partner, 1-9 employees add $15 per employee, 10+ add $10 per employee
UTILITY SERVICES: $200 for base member and $.05 per service member
TEAM CLEVELAND- $50.00
Total Membership Fee

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Membership Registration

Committee Preferences

Membership Fees