Membership Application

Please complete the following application and a member.

Details

Company/Individual Name

Phone

Ex. (888) 555-1234

Company Website

Company Email

Year Business Established

Addresses

Mailing Address

Enter Below

Physical Address

Business Categories

Category 1

Online Directory Settings

Display in Online Directory
(Must be approved by Chamber)

Business Info
Display Name
Phone
Fax
Online Directory Listing Address
	,


Note Displayed on Initial Website Search (250 characters)
Short Description for Website
Business Logo
Website
Website 2
Email
Facebook
Twitter
YouTube

Primary Representative

Name
Title
Email
Use Member Phone	Rep Ph.
Mailing Address
	,


Physical Address
	,

Billing Representative

Primary Rep is Billing Rep
Uncheck if your organization has different primary and billing reps

Membership Dues
Select Membership Level	This membership due is prorated for the remaining months in 2021. Beginning January 2022, all members will be billed on an annual basis. The annual rate for Corporate is $1,200 per year. Membership is based on the number of employees. This membership due is prorated for the remaining months in 2021. Beginning January 2022, all members will be billed on an annual basis. The annual rate for 11+Emplyees is $275 per year. Membership is based on the number of employees. This membership due is prorated for the remaining months in 2021. Beginning January 2022, all members will be billed on an annual basis. The annual rate for Business 6-10 Employees is $200 per year. Membership is based on the number of employees. This membership due is prorated for the remaining months in 2021. Beginning January 2022, all members will be billed on an annual basis. The annual rate for Business 1-5 Employees is $175 per year. This membership is for people who work from home and do not have a storefront. This membership allows business advertising and logo placement on the chamber website. This membership due is prorated for the remaining months in 2021. Beginning January 2022, all members will be billed on an annual basis. The annual rate for HomeBased Business (no Storefront) is $125 per year. This membership requires a 501c3 or similar tax status. This membership due is prorated for the remaining months in 2021. Beginning January 2022, all members will be billed on an annual basis. The annual rate for Non-Profit is $100 per year. This membership is for individuals who support the chamber and do not want to advertise a business. This membership due is prorated for the remaining months in 2021. Beginning January 2022, all members will be billed on an annual basis. The annual rate for individual members is $75 per year.

Membership Dues

Select Membership Level

Thank you!