Chamber Application

EXECUTIVE BOARD ARCHIE TAOTASI SOLIAI PAUL YOUNG JOANNE RASMUSSEN FILIFOTU VAAI-TINITALI - Chairman Vice Chair Treasurer Secretary JOHN WASKO Director TOM DRABBLE Director NICHOLAS STRANGE - Director M EMBERSHIP APPLICATION (Please return this completed application with your membership premium to the Chamber) BUSINESS NAME ______________________________________________________________________________ CONTACT ___________________________________________ JOB TITLE __________________________ ADDRESS ______________________________________________________________________________ ______________________________________________________________________________ TELEPHONE ________________________________ MOBILE ______________________________________ EMAIL _____________________________________________________________________________ WEB SITE _____________________________________________________________________________ TYPE OF BUSINESS ____________________________________________________________________________ # OF FULL TIME EMPLOYEES _______________________________ REASON FOR JOINING _________________________________________________________________________ _____________________________________________________________________________________________ ANNUAL MEMBERSHIP PREMIUMS (based on full time employees): Rates effective March 1, 2015 1–5 $ 25 1–5 $ 50 6 – 10 $ 75 6 – 10 $ 100 11 – 50 $ 125 11 – 50 $ 200 51 – 100 $ 500 More than 50 $ 750 More than 100 $2,000 Membership applications and annual premiums may be dropped off at Bluesky Communications, attention Filifotu Vaai- Tinitali, Chamber Treasurer.