Member - Membership

Business Information

Company Name: *

Phone: *

Website:

Email: *

Business Description (500 char max): *

Directory Category: *

Employees:

Full-time Part-time

Comments / Questions:

Referred By Member:

Referred By Sales Person:

Preferred Payment Method: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone:

Email:

Contact Preference:

Email Phone

Login: *

Password: *

Membership Options

Membership Package: *

Non-Profit/Member: $50.00
Level 1 Membership 1-10 employees: $150.00
Level 2 Membership 11-20 employees: $300.00
Level 3 Membership Franchise/Chain/Corporate: $500.00
Trustee Membership-Silver: $750.00
Free Table at Events Seat on Chamber Board Trustee Membership-Gold: $1,200.00
Free Table at Events Ad on Website Homepage Seat on Chamber Board Trustee Membership-Platinum: $2,000.00
Free Table at Events Ad on Website Homepage Seat on Chamber Board Logo on Digital Newsletters Two Free Tickets to Chamber Events

Additional Opportunities:

We will contact you with additional information.

Chamber Volunteer Opportunities : $0.00
Are you interested in volunteering your time for Chamber events? Hosting a Monthly Mixer : $0.00
Mixers are a great way to network and meet other business owners. Please select this option if you would like to host a mixer. Membership Committee : $0.00
Please select this option if you would like to be on the membership committee.

Payment Option:

Bill me

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 10 plus 1?: *

Member Application

Mailing Address