Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

County (where business is located): *

Reason for Joining:

Preferred language:

Veteran Owned:

Minority Owned:

Woman Owned:

How did you hear about our Chamber? Did a member refer you? If so, who?: *

Chamber Rep: *

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: *

Social Networking:

LinkedIn Facebook Instagram Twitter

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone: *

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone: *

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Membership Investment: $275.00
1 Employee Membership Investment: $305.00
2-6 Employees Membership Investment: $385.00
7-20 Employees Membership Investment: $610.00
21-50 Employees Membership Investment: $770.00
51-100 Employees Membership Investment: $965.00
101-250 Employees Membership Investment: $1,460.00
251 or more Employees Membership Investment: $225.00
Non-Profit Business Membership Investment: $200.00
Individual - Non Business

Additional Fees:

Administrative Fee
One time upon joining

Additional Opportunities:

We will contact you with additional information.

Enhanced Online Directory Listing : $50.00
Enhance your listing online with additional photos, your logo, video and more! Bronze Sustaining Package
Contact us for additional information.

Payment Option:

Charge my credit or debit card

Member Application

Mailing Address

Address

Address