ROSWELL HISPANO CHAMBER OF COMMERCE
MEMBERSHIP APPLICATION FORM

Date:
COMMITTEES
Please indicate what committee(s) you may be interested in serving (if any) by clicking on the check-off box of the following committees:

“MEMBERSHIP MEANS BUSINESS”
If you are interested in becoming a member, please check below for membership fees. Make check payable to the Roswell Hispano Chamber of Commerce. You can e-mail by clicking "Submit Button" below or make a copy and mail to or drop off at:
RHCC
327 N. Main St.
Roswell, NM  88201
Number of Employees:
Investment Fee
Number of Employees:
Investment Fee
If you have any questions or need additional information, please call the RHCC Office at 575-624-0889.

For Official Use Only
(Indicate Source of Payment by Checking One of the Following Sources)
Please contact me with more information on how RHCC can help my business.                                                                       
Yes, I would like to become a member.                                                                                                                               
EDUCATION
ECONIMIC DEVELOPMENT
MEMBERSHIP
CULTURAL
PUBLIC RELATIONS
SPECIAL PROJECTS
GOVERNMENT LIAISON
FINANCE
Individual---------------------------$ 75.00
1-10---------------------------------$150.00
11-20-------------------------------$225.00
21-30-------------------------------$300.00
31-40-------------------------------$375.00
Non-Profit Org.------------------$100.00
41-50-------------------------------------------$450.00
51-60-------------------------------------------$525.00
61-70-------------------------------------------$600.00
71-100-----------------------------------------$675.00
101 & Over--------------------------------$1,000.00
Check (#                         Dated                            )
Money Order(#                         Dated                            )
Credit Card (Type:                                   )
Cash
Other (Explain)