First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

First Name
Last Name
Title
Email

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost

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Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)

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Full-Time Employee Count:	Do you have 500 or more employees? Contact the Ames Chamber membership department for a Custom Memberhip Package to best fit you and your business' needs at 515.232.2310.
Number of Part Time Employees:
Number of Rooms (Accommodations):
Number of Seats (Restaurants):
Number of Associates (Realtors, Attorneys):
Number of Locations ($35/add. location):
Millions in Assets (Financial Institutions):
Enhanced Membership ($50):
Tax	$
Payment Type *	Credit Card Check
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Would you like to become a Gold Member? *Gold dues are 10% above the normal dues amount. Gold Dues ensure that our programs and events are at little or no cost to our members. Gold dues are voluntary. All Gold Members are listed in the Ames Business Monthly annually, receive a special mention in our Annual Report and receive a special Gold Member window decal.
Yes, I would like to become a Gold Member