2007 Membership Application / Renewal
WATERLOO
CHAMBER OF COMMERCE
P.O. Box 551 Waterloo, Indiana 46793
www.waterloochamber.com
President:
Ken Surber (Maple Leaf Inn)
Vice President: Sandy
Rhoades (R.P. Wakefield)
Treasurer: Linda Dunn (Waterloo-Grant Township Public Library)
Secretary: Jackie Shutt (Hartman Autobody)
Economic Development: DeWayne Nodine (Waterloo Town Manager)
Board of Directors: Yvonne Eberly (Farmers State Bank) and Erin Tuttle (Laurels of DeKalb)
Questions??? Contact DeWayne Nodine at 837-7428, or one of the other officers/directors
Annual Dues:
Business--$60 Non-Profit--$30 Home-based Business & Individual--$20
New members joining July to December—Prorated for rest of year
q
Yes, I
want to join the Chamber. My
payment is enclosed.
q
I am
renewing my membership. My payment
is enclosed.
Please
fill in as much information as possible so we can keep our records current.
If
this is a renewal, only your company name, rep. name, signature, date and dues
are all that is needed.
Company
Name:______________________________________________________________
Representative’s
Name:________________________________________________________
Mailing
Address:______________________________________________________________
Phone:____________________
Fax:____________________ E-mail:____________________
Company
Website Address:____________________________________________________
Type
of business (manufacturing, retail, service, non-profit, in-home business, or
other)
_____________________________________________________________________________
Total
number of employees__________ F/T__________ P/T __________
Please
indicate your areas of interest, and/or business concerns, so the Chamber may
better address your business needs.
______________________________________________________________________________
______________________________________________________________________________
Signature:
______________________________ Date: ________________________________
Thank
you for your support. The Waterloo
Chamber looks forward to your participation.