Membership Application

Information provided will be used to establish a basic business record.
Please complete the form below and be sure to press the Submit button.
We will then process the information and get back with you as soon as possible.
Call 502-348-9545 if you have any questions. Thank you.

You can either apply online by filling out the required information below,
or download a printable application.

If you just need to update your membership, use the 2009 Membership Update Form.

Business Contact Information

Please tell us about your business. The contact Information you provide on your application will appear in the Annual Membership Directory and other Chamber publications as well as on the Chamber website www.bardstownchamber.com. In addition, this information will ensure that we maintain quality communications with you and your organization.

Business Name:
Primary Contact Name:
Job Title:
Contact Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
Web Site Address:

Would you like to add additional contacts for you business? (add $50 investment each)
If not, please skip down to the Business Ownership Information section.

Contact 2
Contact Name:
Contact Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:

Contact 3
Contact Name:
Contact Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:

Contact 4
Contact Name:
Contact Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:

Business Ownership Information

The more we know about your business, the better we will be able to serve you with programs and services you need.
What year was your business founded?
What type of business is it?
Would you like to list your business under additional categories?
Additional Categories (add $50 investment each)
Additional Categories (add $50 investment each)
What special services do you offer?
How many full-time employees do you have?
How many part-time employees do you have?

How to calculate your Investment:

Your base investment is couculated by determining your number of equivalent full-time employees working in the Nelson County area.

To calculate this, divide the number of part-time employees you have by 2. Two part-time employees count as one full-time worker. Add that to your total number of full-time employees.

2008 Membership Investment Table

Number of Equivalent Full-Time Employees:

1-3	$140
4-9	$180
10-29	$260
30-49	$320
50-99	$380
100-129	$480
130-159	$520
160-199	$580
Over 200	$660
Employees Work Out of County	$380

Now add any additional investments.

Additional Business Contacts	$50/ea
Additional Business Categories	$50/ea
Retired Employees	$50/ea
Associate/Individual Memberships	$100/ea

Total Investment: $

Membership Investments

• Chamber dues may be deductible as professional business expense. Please confer with your legal or accounting professional to confirm.

• You will be contacted regarding any questions you may have.

Questions or Comments