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16 Sunday, July 31, 2016 Hawaii Tribune-Herald HAWAII ISLAND CHAMBER OF COMMERCE MEMBERSHIP APPLICATION How Do I Join HICC? Simply fill out the membership application and return it along with your dues payment to the Hawai‘i Island Chamber of Commerce. Mail it in or stop by the HICC office, located in the Hawaii Innovation Center, 117 Keawe Street, Suite 205, Hilo, Hawaii 96720 Signature: Fair Share Dues Investment Schedule (Dues determined by the number of employees in your company) $15/semester or $25/year Special Investors Student (UHH or HCC) 1 *For additional representatives, please add $100 for each representative. ± Please contact HICC for more information and additional benefits included with this unique, optional Special Investor opportunity. Ii Example: 70 employees = $631 with 6 member reps ($475+(39x $4)=$631) Number of employees in your Company Dues amount per year Number of allowed member representatives Individual $125 1 1-2 $175 2 3-6 $200 2 7-10 $225 3 11-15 $275 3 16-20 $325 4 21-25 $375 4 26-30 $425 4 31 or moreii (Add $4 per employee over 31 employees to a maximum of $775) $475+ 5 (+1 rep. per $100 over $475)ii Topaz ± $1,000 10* Ruby ± $1,500 12* Sapphire ± $2,000 16* Diamond ± $3,000 18* Emerald ± $5,000 20* Please complete the membership application below and return it along with your dues payment to the Hawai‘i Island Chamber of Commerce. Mail it in or stop by the HICC office, located in the Hawaii Innovation Center, 117 Keawe Street, Suite 205, Hilo, HI 96720. Phone (808) 935-7178 Fax (808) 961-4435 Date: Business Name: Primary Member & Title: Mailing Address: City: State: Zip: Street Address: City: State: _________ Zip: Phone: Fax: GET#: ________________________________________________________ Type of Business: ______________________________________________ E-Mail: Web Site: Full-Time Employees: _____________ Part-Time Employees: _____________ Additional member representatives (see dues schedule for number of additional Members allowed. Attach additional sheets if necessary). 2. 3. 4. Fair share dues amount: $_______ Initial application fee: $ 25.00 (Waived for students) $20 PAC Contribution $_______ (optional): Total enclosed: $ Call the HICC Office for payment by credit card.


hicc2016
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