2012 Investment Schedule

“Your payment dues are an investment in yourself and our community.”

Individual:  $264.00          Business: Less than 3 years:  $330.00

SMALL FIRM: 3 years or greater:

Annual Gross Income:
(Legend:  MM = Million, B = Billion)

$100,000 to $250,000..................$396.00
$250,001 to $500,000..................$528.00
$500,001 to 1MM........................$660.00
$1MM to $5MM..........................$792.00
$ 5MM to 10MM.........................$924.00
$10MM to $20MM......................$1056.00
$20MM to $50MM......................$1188.00

LARGE FIRMS AND MAJOR CORPORATIONS:
 
$51MM to $500MM....................$3,960.00
$500MM to $1B..........................$5,280.00
$1B to $ 5B.................................$6,600.00
$ 5B to $10B...............................$7,920.00
$10B to $15B..............................$9,240.00

BANKS:
$ 25MM to $ 50MM...................$3,300.00
$ 50MM to $100MM..................$4,620.00
$100MM to 500MM...................$5,940.00
$500MM and over.......................$7,260.00

NOT FOR PROFIT ASSOCIATIONS, ORGANIZATIONS, HOSPITALS, ETC.

Annual Budget:
$200,000 or less...........................$264.00
$200,001 to $500,000..................$528.00
$500,001 to $750,000..................$792.00
$750,001 to $1MM......................$1,056.00
$1MM and above.........................$1,320.00

ALL DUES MUST BE PAID IN FULL NO LATER THAN MARCH 30, 2012

Apply Online

Please fill out the form completely. ALL fields are required

Information:

Date  

Full Name

Title

Business Name

Business Address

City

State

Zip code

Telephone Number

Fax Number

Email Address

Date Business Started

Number of Employees

Sic Codes

Describe Product Goods or Services

Industry:

Manufacturer
Construction
Distributor
Franchise
Service
Other

Certifications:

City
County
State
8A
CMBDC
WBDC
MBE
WBE
DBE

Type Of Business:

Corporation
S-Sorp
LLC
Partnership
Sole Prop
Not for Profit

Information Cont:

Percent of Your Ownership  %

Inclusion On Website

Yes No

Boards You Sit On

How Did You Hear About The Chamber

Political Action Committee (PAC)

I Agree To Contribute 10% of My Paid Membership Fee To The PAC

Yes No

In Addition, I Contribute an Additional:

$100 $75 $50 $25

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Download Application

1. Download PDF file.
2. Complete the form.
3. Please mail application and payment to:
   
   The Cosmopolitan Chamber of Commerce
   203 North Wabash Ave., Suite #518
   Chicago, IL 60601
   

*The PDF requires Adobe Reader, which is a free download