Spring Valley Chamber Membership Form

Spring Valley Chamber of Commerce Membership Form

First Name *
Last Name *
Job Title
Organization Name
Street Address *
City *
State *
Zip *
Phone *
Fax
Email *
Website

Please, choose the membership level that describes your company:

	Basic Membership	$200.00
	Premium Membership	$300.00
	Silver Membership	$550.00
	Gold Membership	$1050.00
	Platinum Membership	$1550.00
	Not For Profit	$125.00
	Associate Member	$125.00

Check below if you are a new member.
One Time Administration Fee - $25.00

Total Cost =

If you prefer, mail your form and check to:
Spring Valley Chamber of Commerce
3322 Sweetwater Springs Blvd. #202
P.O. Box 1211
Spring Valley, CA 91977