Membership Application

Membership Application
Questions marked by * are required.
1. Contact Name: *

2. Business Name: *

3. Business Address: *
4. Business Category: *

5. E-mail *

6. Website

7. Affiliated Business Name (if applicable):

8. Affiliated Business Address (if applicable):
9. Classification and Dues Structure *

  • $75 – Residential (non-voting category – businesses not eligible)
  • $175 – Religious and public educational institutions, service clubs and organizations, homeowners associations (non-voting category)
  • $275 – -2 employees [including proprietor or owner (one individual)
  • $295 – 3-4 employees [including proprietor or owner (one individual)
  • $325 – 5-6 employees [including proprietor or owner (one individual)
  • $350 – 7-10 employees [including proprietor or owner (one individual)
  • $400 – 11+ employees [including proprietor or owner (one individual)
  • $400 – Commercial property owner
  • $500 – Major corporation (i.e., financial institutions, major real estate companies, private clubs, utility companies, supermarkets, hospitals, developers)
10. Add-ons

  • $175 – Each additional business location
  • $200 – Each affiliated business name
11. One Time Enrollment Fee

  • $25 – New Members must pay a one time erollment fee
12. How would you like to pay? *

13. I am interested in serving on the following committee(s):

  • EXPO Fair
  • Holiday Ho! Ho! Ho!
  • Merchant Committee
  • Palisades Teen Contest
  • Polo Tournament
  • Sidewalk Sale
  • Village Fair