Hawaii Island Chamber Of Commerce Membership Application Business Name Primary Member & Title Physical Address Mailing Address (if different from physical address) General Email General Phone Number Primary Member Email Primary Member Phone Number General Excise Tax # XXX-XXX-XXXX-XX or FEIN for non-profit organizations: Type of Business Web Site Referred by (please enter first and last name): # Full-Time Employees Membership Levels Membership LevelsStudent (UHH or HawCC) $25/yearIndividual (No business affiliation) $1501-2 employees $2003-6 employees $2307-10 employees $26011-15 employees $32016-20 employees $37521-25 employees $43026-30 employees $49031 or moreii (Add $5 per employee over 31 employees to a maximum of $900) $550-$900Special Investors: Topaz $1,000Special Investors: Ruby $1,500Special Investors: Sapphire $2,000Special Investors: Diamond $3,000Special Investors: Emerald $5,000 # Part-Time Employees: 2nd Member Rep Email 2nd Member Rep Name 3rd Member Rep Email 3rd Member Rep Name 4th Member Rep Email 4th Member Rep Name 5th Member Rep Name 5th Member Rep Email 6th Member Rep Name 6th Member Rep Email 7th Member Rep Name 7th Member Rep Email 8th Member Rep Name 8th Member Rep Email 9th Member Rep Name 9th Member Rep Email 10th Member Rep Name 10th Member Rep Email 11th Member Rep Name 11th Member Rep Email 12th Member Rep Name 12th Member Rep Email 13th Member Rep Name 13th Member Rep Email 14th Member Rep Name 14th Member Rep Email 15th Member Rep Name 15th Member Rep Email 16th Member Rep Name 16th Member Rep Email 17th Member Rep Name 17th Member Rep Email 18th Member Rep Name 18th Member Rep Email 19th Member Rep Name 19th Member Rep Email 20th Member Rep Name 20th Member Rep Email Submit