Yucca Valley Chamber of Commerce
2013 Membership Application
56711 29 Palms Hwy, Yucca Valley CA 92284
(760) 365-6323 Phone (760) 365-0763 Fax
Web: www.yuccavalley.org Email:
ANY information you do NOT want made “Public” - please check [green] boxes belowCompany / 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 / organizationMembership 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: r Business Development r Networking r Legislation r Marketing r 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. r Please do not send event, promotional, or advertising information.
Annual Membership InvestmentsBusiness / 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 $ 145.00 $ 40.00
6-10 Employees $ 175.00 $ 48.50
11-18 Employees $ 225.00 $ 62.00
19-25 Employees $ 275.00 $ 76.00
26-55 Employees $ 420.00 $115.50
56+ Employees $ 460.00 $126.50
Non-Profit Organization ** $ 85.00 $ 23.50
One Time Processing Fee(for New Members Only)+ $ 25.00 + $ 25.00
Total Membership Fees: = $ or = $ .
Please make payment to: Yucca Valley Chamber of Commerce
Individual – Not A Business $ 36.00
(Individual Members do not receive a plaque)
** (Limited Benefits for Non-Profit Members )
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!
Directory / Website Category ListingsFREE : Select TWO ( 2 ) categories from below to be listed as
( For a one-time fee of $15 EACH you may choose additional categories from the list below )
2
____Accessories / Apparel
____Accountant / Bookkeeper
____Advertising / Marketing
____Alarm Systems
____Animal/Pet/Wildlife Rescue
____Antiques / Collectables
____Apartment / Condo
____Appliances - Sales / Service
____Appraisal Service
____Architect / House Plans
____Art - Center / Gallery / Theatre
____Assisted Living
____Attorney / Legal Service
____Automotive Machining
____Automotive - Oil Lube
____Automotive Parts/Accessories
____Automotive - Rental
____Automotive - Sales
____Automotive - Service / Repair
____Automotive - Towing
____Awards/Trophies / Engraving
____Bakery / Donuts
____Banking / Financial Service
____Banners / Signs
____Beauty - Cosmetics / Supplies
____Beauty - Salon / Supplies
____Blood Bank
____Book / Magazine - Sales
____Bridal - Services / Supplies
____Building Materials & Supplies
____Business Services / Consultant
/ Business Management
____Candles
____Candy Store/Distributor
____Car Wash
____Carpet / Flooring
____Catering
____Certified Farmers Market
____Child Care / Day Care
____Chiropractic
____Church / Faith-Based Organization
____Cleaning - Carpet / Upholstery
____Cleaning - Janitorial
____Coin Laundry
____Community Club / Organization
____Computer / Internet- Service & Sales
____Concrete / Rock Sand / Asphalt
____Conference Center
____Consignment Store
____Contractor - Builder
____Contractor - Construction
____Contractor - Cooling / Heating
____Contractor - Electrical
____Contractor - Paving / Curbs
____Contractor - Plumbing
____Contractor - Roofing
____Crafts / Home-Creations
____Dance - Studio / Instruction
____Dental
____Distributor - Beverage / Food
____Dry Cleaner
____ Eco-Friendly – Green –
Products / Services
____Education / Training
____Emergency Services
____Employment Services/Emp. Training
____Engineering / Surveying
____Entertainment
____Environmental Organization
____Equestrian - Service / Supplies
____Equestrian – Vacation / Boarding
____Equipment Rental
____Escrow / Title
____Fabric / Quilt Shop
____Fencing - Services / Supplies
____Fitness / Sports
____Florist
____Food Vendor
____Funeral Home / Mortuary
____Furniture
____Garage Doors - Repairs / Service
____Gas Station
____Genealogy
____Gifts / Novelties
____Glass
____Government
____Graphic Design
____Grocer / Market
____Gun Shop
____Gym / Health Club
____Handyman / Home Repair
____Health & Wellness
____Health Care Services
____Health Food / Natural Products
____Hearing - Service / Supplies
____Hobbies / Models
____Home-Based Business
____Home Décor
____Home Improvement
____Housewares / Kitchen
____Human Resources & Services
____INDIVIDUAL MEMBERSHIP
____Industrial Manufacturing
____Insurance Services
____Interior Design
____Investigation / Security
____Investment / Retirement
____Jewelry - Sales / Repair
____Land Development Services
____Landscape / Tree Service
____Laundry – Fluff and Fold
____Legal Document Services
____Locksmith
____Lodging-Hotel/Motel / Guest-House
____Martial Arts
____Massage / Facials
____Media - Newspaper / Radio / TV
____Medical - General
____Medical - Specialized
____Mobile Home Park
____Mortgage / Loans
____Motorcycle- Sales/Service/Repair
____Moving - Service / Supplies
____Municipal Service / Utilities
____Murals / Wall Art
____Notary Public
____Notions / Sewing
____Nursery / Gardening
____Office Equipment - Sales / Service
____Office - Supplies
____Optometrist
____Paralegal
____Pawn Broker
____Pest Control
____Pets - Grooming / Spa
____Pets - Kennel / Sitting
____Pets - Supplies
____Pharmacy
____Photography / Video Service
____Pool / Spa / Hot Tub -
Sales / Service / Repairs
____Postal / Shipping
____Pottery / Clay Art
____Powder Coating
____Printing / Publishing
____Promotional Items
____Propane Services
____Property Management
____Prospecting - Services / Supplies
____Psychic / Channeling
____Quilting
____Real Estate
____Real Estate - Market Analysis
____Recreational Facility
____Restaurant
____Restaurant - Supplies / Services
____RV Park / RV Resort
____Screens / Window - Sales / Service
____Senior Activities Center
____Senior Day Care
____Senior Resources
____Social Services
____Solar Contractor
____Spa / Day Spa (Facility / Resort)
____Special Event Services / Party Rentals
____Specialty Service
____Specialty Store
____Storage Facility
____Store - Department / Warehouse
____Tailor / Seamstress
____Tattoo Parlor
____Tax / Payroll - Service
____Telephone / Data Networks
____Thrift Shop
____Tourism - Sites / Services
____Tractor - Sales / Services
____Transportation Services
____Travel / Cruise - Services
____Veterinarian / Animal Hospital
____Vehicle Registration Services
____Water Hauler
____Web Site Design
____ Weightloss
____Wildlife Preserve / Zoo
____Wildlife Rescue
____Windows Rev 12-22-11
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