Membership and Renewal Application 2021

Membership and Renewal Application 2021

PLEASE NOTE: As of April 1, 2021, the YS Chamber Membership structure has changed. Please click here for more a copy of the informational letter that was sent to all members. Feel free to contact us with any questions or concerns.

    Take advantage of the Yellow Spring Chamber's benefits, resources, and much more by becoming a member today!

    Membership levels are based on number of full-time owners and employees. Two part-time employees equal one full-time employee.

    Fill out the form below to submit your application online (required fields are marked by an asterisk *):

    * New or Renewing Member:
    New MemberRenewing Member

    * Business or Organization Name:

    * Physical Business Address:

    Mailing Address (if different):

    * City: * State: * Zip:

    * Primary Contact Name:

    * Phone:   Fax:

    * Email Address:

    Website (linked to chamber):

    * Business Description:

    *Business Type:
    Sole ProprietorPartnershipCorporationNon-ProfitOther
    If other, please explain:

    Years in Operation:

    * Number of Full-time Employees (including owners):

    Why did you join the chamber?

    Would you like to sign up for the Chamber's email newsletter that features Chamber updates and important information relevant to your business?
    yesno

    Are you interested in volunteering for the Chamber or being on a Chamber committee?
    yesno

    Are you interested in learning more about Chamber Benefits?
    yesno

    Are you interested in being part of our Chamber Benefits Package by offering discounts to other Chamber members?
    yesno

    • Membership Renewal is one year from the submission of this application; a delinquency of 45 days results in lapse of membership.
    • Refunds for membership fees are not available. If you have any questions about the charges, please contact Alexandra Scott at 937.767.2686 or ascott@yschamber.org.
    • The Chamber uses e-mail as the preferred mode of communication with our members.

    The Primary Contact Person is the Designated Voting Representative for Voting Members. Please designate an Authorized Voting Alternate.
    Voting Alternate Name/Title:

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