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:

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