Northmont Ohio Chamber of Commerce

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Northmont Communities

Membership Application

Please complete this form and click submit.
Questions? Call us at (937) 836-2550.

(Items marked with an * are required)

*Co. Name:

*Contact:

Title:

*Address:

*City:

*St:

*Zip:

*Phone:

Fax:

*E-Mail:

Web:

*# Employees:

*Business Classification:

Are you interested in giving a Member 2 Member discount? If yes, please state what that discount might be.

Example: 15% off a certain service.

Would you consider serving on a chamber committee?

	Business Expo		Golf Outing		Legislative
	Member 2 Member		Investor Benefits

*Northmont Area Chamber of Commerce Investment Schedule:

	0-3 Employees	$170.00
	4-10 Employees	$205.00
	11-25 Employees	$270.00
	26-50 Employees	$345.00
	51-75 Employees	$395.00
	76+ Employees	$500.00

Please enter the security code below in the box provided
before clicking submit.

*Security Code:

Northmont Area
Chamber of Commerce
PO Box 62
9 W. National Rd.
Englewood, Ohio 45322
Phone: 937.836.2550

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Quick Fact
The Northmont Area Chamber of Commerce serves approximately 300 members (our investors) doing business in the Cities of Clayton, Englewood and Union , Ohio.

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