Join the Chamber

New Member Application

Company Information
Company:
*
Address Line 1:
*
Address Line 2:
City:
*
State:
*
Zip:
*
Phone 1:
*
Phone 2:
Fax:
E-mail:
*
Website:
Bus. Category 1:
Bus. Category 2:
$10.00
Bus. Category 3:
$10.00
Bus. Category 4:
$10.00
Bus. Category 5:
$10.00
Full-time Employees:
Part-time Employees:
Additional Business Information
Business Description:
Enter keywords related to your business below, separated by a space or comma.
Referred By:
Why are you joining?
Expectations:
Area that you serve:
Contact preference:
Create Member Account Login
Your member account allows you to update your information online via a secure login.
Admin E-mail:
*
Password:
*
Verify Password:
*
Contacts
Primary Contact
Prefix:
First Name:
*
Last Name:
*
Suffix:
Familiar Name:
Title:
Create Login
Your member login allows you to update your information online and register for events.
Username:
*
Password:
*
Verfiy Password:
*
 
Billing Contact
 
Annual Investment Memberships
2 part time employees = 1 full time emlpoyee
Employees
Amount
0-2
225.00
3-5
300.00
6-25
400.00
26-100
500.00
101-350
650.00
351+
900.00
225.00
$150.00
2 part time employees = 1 full time emlpoyee
Employees
Amount
0-2
202.50
3-5
270.00
6-25
360.00
26-100
450.00
101-350
585.00
351+
810.00
202.50
For the first year of membership. Dues will increase by 1/3 of dues level, based on number of emplyees, each year afterward for next two years
$150.00
Special membership for an independent contractor of a member company. This is a limited membership which includes advertising, networking, & other promotional opportunities.
$75.00
Special membership for additional office location of a "same name" member company.
$200.00
Total:
$0.00
Security Code:
Please enter the security code above.
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