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One Southern Indiana | Chamber and Economic Development

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	Benefits of Membership
	Success in Southern Indiana
	$100 Membership Rebate

Application Form

Please complete this application and click Submit. Call 945-0266 if you have any questions.

If you prefer to print the application, fill it out and mail it in, please click here.

* Required Field

Business Name:		I have been to 14 chamber events since Jan 08 and only spent $24. That is tremendous! Even my boss was impressed and she's an accountant! Susan Woods, Talis Group
Contact Person:
Street Address:
City:
State:
ZIP:

Mailing Address:		1SI offers real business growth solutions that work. Whether connecting us to customers or providing my staff with leadership training, 1SI delivers results! Diane Fischer, L&D Mail Masters
	If different than above
Business Phone:
Business Fax:
* E-mail:
Website Address

Product/Service Category:		You want exposure? Join 1SI. You want leads? Join 1SI. You want to grow your bottom line? Join 1SI! Enough said. B. Todd Bright, Frost Brown Todd 1SI focuses on business...mine. I generated 2 solid referrals at my first event! Bill Huss, Safety Wear
	4 words or less for directory placement. For Example: Real Estate; Restaurants; Office Supplies; etc.
Reason for Joining:
Sponsor:
Number of Full-time Employees:
	Two part-time employees equal one full-time employee.
Today's Date:
	* I agree to allow the Chamber to contact me and/or our company representative(s) by Fax, Phone or E-mail.

Annual Investment:
	See schedule
Total Investment:
Application Fee:	$25.00