Membership Application Instructions Please select the option below that best works for you. FULL MEMBERSHIP ($150.00 ** ) This is a business membership with one designated voting member with three (3) votes and the eligibility to serve on the Board of Directors and any committee. ASSOCIATE MEMBERSHIP ($50.00) Open to civic groups, organizations, and persons not engaged in commercial activities. Entitled to one (1) vote, but not eligible to serve on the Board of Directors. May serve on any committee. INDIVIDUAL MEMBERSHIP ($25.00) Open to all persons who do not represent a business, but who are interested in the betterment of the Williston community through Chamber activities. Not eligible to vote, but may serve on any committee. Membership Selection Full Membership $150.00 Associate Membership $50.00 Individual Membership $25.00 Optional Donations Donations may be made in any denomination you wish i.e. $25.00, $50.00, etc. Scholarship fund Debt Reduction Other If you choose to make a donation designated as 'other,' please list what that is to be earmarked for here: For 'Other' Donations Business / Organization Name Contact Name First Last Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip Code Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombi Comoros Congo (Brazzaville) Congo Costa Rica Cote d\'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor (Timor Timur) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepa Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Country Business Phone Home Phone FAX Website URL Email * Instructions ** Any full member volunteering (below) 2 hours to a Chamber event or project during the year will receive a $25.00 credit toward the following year’s dues. If you wish to participate in this program please initial below. Business Description Check all that apply Yes - I would like to be involved with a Chamber eventYes - I would like to help with the Peanut FestivalYes - I would like to help with the Christmas Parade Verification Please enter any two digits *Example: 12 This box is for spam protection - please leave it blank