Bolingbrook Chamber of Commerce
201-B Canterbury Lane
Bolingbrook, IL 60440
Phone: 630 226-8420
Fax: 630 226-8426
www.bolingbrookchamber.org

Membership Investment Application

DIRECTORY INFORMATION / MAILING ADDRESS


Company
Main Contact
Position/Title

Website
Email

Phone
Fax

Address
City
State
Zip

BILLING / INTERNAL CONTACT INFORMATION


Company
Main Contact
Position/Title

Website
Email

Phone
Fax

Address
City
State
Zip

ADDITIONAL CONTACT #1:


Name
Title
Email
Phone

ADDITIONAL CONTACT #2:


Name
Title
Email
Phone

INVESTMENT FEE SCHEDULE:

Full-time employees count as 1.0 FTE | Part-time employees count as 0.5 FTE
Choose your investment level based on your full-time equivalents (FTE). By your company
joining our chamber, all employees can and are encouraged to take advantage
of our events and programs – most of which are available at no additional cost.
- $250
- $300
- $350
- $425
- $550
- $650
- $750
- $850
- $1000

Membership Infestment Fee
Legislative Advocacy Support
Additional Options / Package Upgrades
Total Annuel Investment Fee
Member Name
Annual Renewal Date

METHOD OF PAYMENT:


(Payable To: Bolingbrook Area Chamber of Commerce)
(Note: Your Membership Application will be placed in a pending status until payment is received.)

I hereby authorize the Bolingbrook Area Chamber of Commerce, 201-B Canterbury Lane Bolingbrook, IL 60440, to charge
the following fee(s) which has not been paid by me by cash or check: initial membership investment fee and/or automatic
membership renewal fees (in the amounts, and not to exceed that amount, and with the renewal/due dates as described in
my membership agreement with the Bolingbrook Area Chamber of Commerce) to the following credit card: