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 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: 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 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 $ 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 Listings
FREE : 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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