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Yucca Valley Chamber of Commerce 2014 Membership Application

56711 29 Palms Hwy, Yucca Valley CA 92284 (760) 365-6323 Phone (760) 365-0763 Fax Web: www.yuccavalley.org Email: [email protected]

Business Advocate: Community VestedBusiness Advocate: Community Vested

ANY information you do NOT want made “Public” - please check [green] boxes below

Company / Individual Name: ______Year Est.: ______License # ______

Principal Owner / CEO / Individual Name: ______Main Contact/Title: ______

Company / Individual Email: ______Main Contact Email: ______

Location Address: ______City: ______State: ______Zip: ______

Mailing Address: ______City: ______State: ______Zip: ______

Company / Individual Phone: ______Personal/Cell Phone: ______Company Fax: ______

Company Web URL: ______Companies: Please provide a brief description of your services/products (15 words or less) for information purposes: ______

Please see page 2 to select TWO category listings for this business / organization Membership dues may be tax deductible as an ordinary and necessary business expense. Dues are NOT considered a charitable tax deduction for Federal Income Tax purposes. This application is for one year and is subject to annual renewal 12 months from the effective date of this application. Standard of Conduct: Signed application for membership constitutes consent by the applicant: to adhere to the by-laws and all other stated policies of the Yucca Valley Chamber of Commerce; to execute one’s business in a legal and ethical manner; and to conduct one’s action or behavior in a manner that is not unbecoming or prejudicial to the aims or repute of the Yucca Valley Chamber of Commerce. WELCOME!! Reasons For Joining:  Business Development  Networking  Legislation  Marketing  Other ______

Signed: ______Date: ______By signing this application, you are hereby establishing a business relationship with the Chamber and authorizing the Chamber to communicate with you, from time to time, by fax, email, or other means, either directly or through a contract bound authorized agent, for event notifications, promotional opportunities, or other promotions or solicitations, which may be in the form of advertisements, that the Chamber feels are beneficial to its membership.  Please do not send event, promotional, or advertising information. New Membership Investments Business / Organization : Please List Number of Employees ______(including owners) Are you a home based business: (please circle one) Yes No Payment Options: Yearly or Quarterly 0-5 Employees $ 180.00 $ 67.50 6-10 Employees $ 210.00 $ 76.00 11-18 Employees $ 260.00 $ 89.50 19-25 Employees $ 310.00 $ 103.50 26-55 Employees $ 455.00 $ 143.00 56+ Employees $ 495.00 $ 153.50 Non-Profit Organization ** $ 120.00 $ 51.00 One Time Processing Fee of $25.00 is included Total Membership Fees: = $ or = $ . Please make payment to: Yucca Valley Chamber of Commerce Directory / Website Category Listings Individual – Not A BusinessFREE : Select$ TWO46.00 ( 2 ) categories from below to be listed as (Individual Members do not receive a plaque) ** (Limited Benefits( For for a one-timeNon-Profit Membersfee of $15 ) EACH you may choose additional categories from the list below ) To pay via credit card go to Chamber Store on our webpage: www.yuccavalley.org to pay through PayPal! Thank you for your continued support in the YV Chamber, as well as in the Business Community! ____Accessories / Apparel ____Education / Training ____Notions / Sewing ____Accountant / Bookkeeper ____Emergency Services ____Nursery / Gardening ____Advertising / Marketing ____Employment Services/Emp. Training ____Office Equipment - Sales / Service ____Alarm Systems ____Engineering / Surveying ____Office - Supplies ____Animal/Pet/Wildlife Rescue ____Entertainment ____Optometrist ____Antiques / Collectables ____Environmental Organization ____Paralegal ____Apartment / Condo ____Equestrian - Service / Supplies ____Pawn Broker ____Appliances - Sales / Service ____Equestrian – Vacation / Boarding ____Pest Control ____Appraisal Service ____Equipment Rental ____Pets - Grooming / Spa ____Architect / House Plans ____Escrow / Title ____Pets - Kennel / Sitting ____Art - Center / Gallery / Theatre ____Fabric / Quilt Shop ____Pets - Supplies ____Assisted Living ____Fencing - Services / Supplies ____Pharmacy ____Attorney / Legal Service ____Fitness / Sports ____Photography / Video Service ____Automotive Machining ____Florist ____Pool / Spa / Hot Tub - ____Automotive - Oil & Lube ____Food Vendor Sales / Service / Repairs ____Automotive Parts/Accessories ____Funeral Home / Mortuary ____Postal / Shipping ____Automotive - Rental ____Furniture ____Pottery / Clay Art ____Automotive - Sales ____Garage Doors - Repairs / Service ____Powder Coating ____Automotive - Service / Repair ____Gas Station ____Printing / Publishing ____Automotive - Towing ____Genealogy ____Promotional Items ____Awards/Trophies / Engraving ____Gifts / Novelties ____Propane Services ____Bakery / Donuts ____Glass ____Property Management ____Banking / Financial Service ____Government ____Prospecting - Services / Supplies ____Banners / Signs ____Graphic Design ____Psychic / Channeling ____Beauty - Cosmetics / Supplies ____Grocer / Market ____Quilting ____Beauty - Salon / Supplies ____Gun Shop ____Real Estate ____Blood Bank ____Gym / Health Club ____Real Estate - Market Analysis ____Book / Magazine - Sales ____Handyman / Home Repair ____Recreational Facility ____Bridal - Services / Supplies ____Health & Wellness ____Restaurant ____Building Materials & Supplies ____Health Care Services ____Restaurant - Supplies / Services ____Business Services / Consultant ____Health Food / Natural Products ____RV Park / RV Resort / Business Management ____Hearing - Service / Supplies ____Screens / Window - Sales / Service ____Candles ____Hobbies / Models ____Senior Activities Center ____Candy Store/Distributor ____Home-Based Business ____Senior Day Care ____Car Wash ____Home Décor ____Senior Resources ____Carpet / Flooring ____Home Improvement ____Social Services ____Catering ____Housewares / Kitchen ____Solar Contractor ____Certified Farmers Market ____Human Resources & Services ____Spa / Day Spa (Facility / Resort) ____Child Care / Day Care ____INDIVIDUAL MEMBERSHIP ____Special Event Services / Party Rentals ____Chiropractic ____Industrial Manufacturing ____Specialty Service ____Church / Faith-Based Organization ____Insurance Services ____Specialty Store ____Cleaning - Carpet / Upholstery ____Interior Design ____Storage Facility ____Cleaning - Janitorial ____Investigation / Security ____Store - Department / Warehouse ____Coin Laundry ____Investment / Retirement ____Tailor / Seamstress ____Community Club / Organization ____Jewelry - Sales / Repair ____Tattoo Parlor ____Computer / Internet- Service & Sales ____Land Development Services ____Tax / Payroll - Service ____Concrete / Rock & Sand / Asphalt ____Landscape / Tree Service ____Telephone / Data Networks ____Conference Center ____Laundry – Fluff and Fold ____Thrift Shop ____Consignment Store ____Legal Document Services ____Tourism - Sites / Services ____Contractor - Builder ____Locksmith ____Tractor - Sales / Services ____Contractor - Construction ____Lodging-Hotel/Motel / Guest-House ____Transportation Services ____Contractor - Cooling / Heating ____Martial Arts ____Travel / Cruise - Services ____Contractor - Electrical ____Massage / Facials ____Veterinarian / Animal Hospital ____Contractor - Paving / Curbs ____Media - Newspaper / Radio / TV ____Vehicle Registration Services ____Contractor - Plumbing ____Medical - General ____Water Hauler ____Contractor - Roofing ____Medical - Specialized ____Web Site Design ____Crafts / Home-Creations ____Mobile Home Park ____ Weightloss ____Dance - Studio / Instruction ____Mortgage / Loans ____Wildlife Preserve / Zoo ____Dental ____Motorcycle- Sales/Service/Repair ____Wildlife Rescue ____Distributor - Beverage / Food ____Moving - Service / Supplies ____Windows Rev 1/1/2014 ____Dry Cleaner ____Municipal Service / Utilities ____ Eco-Friendly – Green – ____Murals / Wall Art Products / Services ____Notary Public 2