All Members Complete This Section: Business Name: Email: New Membership or Renewal? New Membership   Renewal Business Owner + 0-2 employees $165 Owner + 3-9 employees $185 Owner + 10-19 employees $235 Owner + 20-34 employees $250 Owner + 35-54 employees $275 Owner + 55 employees $295 * Number of employees defined per IRS. Other Individual or Associate $115 Non-profit & gov't institution $170 Financial Institution $405 Maximum Dues $655 Optional Brochure Service $38 No, thanks Optional Expanded Internet Listing $77 (DETAILS) No, thanks I will send a check for $ - full payment of my 2009 dues. I would like to pay by credit card: Name on card: Billing Address: Card Number: Expiration Date: 3-digit Security Code: Business License #: Expires: Issued By: City of Port Townsend Jefferson County Washington State Other: Select your listing category: Accommodations* Antiques Architects Art Galleries Attorneys Automotive Boat Charters Bookkeeping Svcs. Breweries Building Supplies Building Trades Business Orgs Churches Commercial Space Computer Services Congregate Care Consultants Education Entertainment Financial Services Florists Golf Courses Government Graphic Design Grocers Health Care Health Spas Individuals Insurance Interior Design Landscape Marine Trades Marketing Mediation Svcs. Museums Nonprofits Pet Services Photography/Framing Public Utilities Publishing/Printing Real Estate Recording Studios Recreation Rentals Restaurants/Catering Retail Retail/Wholesale Science/Engineering Services Telecommunications Transportation Travel Agents Wholesale/Mfg Wineries * Accommodations will be asked to fill out additonal information on the next screen.

Renewing Members Complete This Section: Please click here to check your current business listing I have no changes to my listing Use the submit button at the bottom of the page to submit your 2009 Chamber Membership renewal I have changes to my listing Please fill out the appropriate fields in the New Membership/Update Listing form below

New Membership/Update Listing Section: Contact Name Mailing Address Physical Address City State Zip Code Phone Toll-free FAX

Expanded Internet Listing: Optional - $77/year (SEE DETAILS) 150 Word Description: Web Site Address: Mail a scannable logo, graphic or image to the Chamber at the address below, or email a digital image to admin@ptchamber.org for your expanded listing.

Port Townsend Chamber of Commerce 440 12th Street, Port Townsend, WA 98368 360-385-7869 • admin@ptchamber.org • www.ptchamber.org 360.385.2722 Chamber Visitor Information Center