The undersigned hereby makes application for membership in the Harbor City / Harbor Gateway Chamber of Commerce and agrees to adhere to all bylaws, policies and procedures adopted by the Board of Directors.

Business / Organization / Resident Name
Name of Primary Contact:
Title:
Number of Employees:
Suggested Category Listing for Directory:
Street Address for Directory:
City:
State:	CA
Zip:
Billing Address (if different):
City:
State:
Zip:
Telephone:
Facsimile:
Email Address:
Website:
Brief Description of Business or Organization (services provided, product line, history):
Membership in the Harbor City / Harbor Gateway Chamber of Commerce entitles business / organization to one free listing in the Chamber's Business Directory. Resident members will be listed at their request.
Membership Dues:	Select One 1-5 persons $125 6-10 persons $200 11-20 persons $225 21-40 persons $250 41-60 persons $275 61-80 persons $300 81-100 persons $325 101-150 persons $375 151-200 persons $425 201-250 persons $500 251-300 persons $600 Non-Profit Organization Budget less than 2M $75 Non-Profit Organization Budget more than 2M $150 Home-Based Business $100 Resident / Civic Volunteer $85
Note: Business Membership = One Vote, Resident / Charitable Organization = No Vote In accordance with the Omnibus Budget Reconciliation Act of 1993, we estimate 8% of your membership dues are used for purposes that may not be deductible as ordinary and necessary business expense.