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Member Directory
Chamber
Membership Application
Contact Us
Home
Community
Recreation
School
Government
Area Jobs
Events
Business
Economic Development
Member Directory
Chamber
Membership Application
Contact Us
Template
L@wton
2017-04-25T21:16:22+00:00
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
Full Time Employees
(Closest #)
Part Time Employees (Closest #)
Addresses
Mailing Address
Manually Enter
Address
Box/Apt/Suite
City
State, Zip
Physical Address
Manually Enter
Use Member Mailing Address
Address
Box/Apt/Suite
City
State, Zip
Business Categories
Category 1
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Accommodations-Hotels
Accommodations-Resorts
Accommodations-RV Parks
Accommodations-Vacation Rentals
Accounting Services
Advertising & Publishing
Advertising- Internet and Yellow Pages
Aerial Photography
Aerospace Parts Supplier
Air Conditioning & Heating
Alcohol Distributor
Animal Clinic
Apartment Locators
Appliance Repair/Electrical Ser
Attorney
Auto Collision Repair
Automotive Sales
Automotive-Collision Repair
Automotive-Service & Repair
Banks & Credit Unions
Banners & Signs
Bar
Beauty Consultant
Blinds, Shades & Shutters
Boat Canvas
Boat Marina
Boat Refinsihing/Repair
Boat Rentals
Boat Sales & Repair
Car Wash
Carpet Cleaning Service
Catering
Chambers of Commerce
Chiropractic
Churches
Cleaning Service
Coffee shop
Computer
Computer - Repair/Training
Concrete/Masonary/Waterproofing
Condo Owners Association
Consignment
Construction Services
Convenience Store
Couples Dance Club
Cremation Services
Delivery Service
Dentist
Dermatology
Dock Building & Repair
Dog Grooming
Dry Cleaners - Laundry
Educational Foundation
Emergency Assistance
Event Facility
Farmers Market
Financial Services
Fitness Facilities/personal Trainer
Flooring-Residential/Commercial
Full Service Storage
Funeral Homes
General Contractor-Remodeling
Gift Shop
Golf Courses
Government Offices
Grocery Store
Gutters
Handy Man
Hardware Store
Health & Wellness
Helicopter Service
Holistic Wellness Services
Home Builders
Home Care
Hospital
Human Resources
Ice cream truck
Individual
Insurance
Insurance & Investments
Insurance/Risk Management
Interior Decorating
IT Solutions
Jet Ski Rentals
Jewelry
Kayak Rentals
Land Management
Landscaping & Lawn Maintenance
Liquor Store
Marine Canvas
Massage Therapy
Master Planned Community
Mobile Dog Groomer
Mortgage Banker
Mortgage Companies
Newspaper
Non-profit
Nursing Homes & Care
Online Newspaper
Optometrist
Outdoor Fitness
Performing Arts
Personal Assistant/concierge
Pest Control
Pet Adoptions and Rescue
Pet Services
Photographer
Physician
Pizza Delivery
Plumbers
Printing
Propane Services
Property Development
Property Management
Property Owners Association
Public Transportation
Real Estate
Rental Manager
Restaurants
Restaurants/Caterers
Restaurants/Fast Food
Retail
Roofing & Sheet Metal
Salons & Spas
Schools
Security Systems
Software Development
Storage
Sup Board Rentals
Tattoo Shop
Tennis
Theatre, Arts
Tires
Title Companies
Unknown
Utility
Water Filtration and Softners
Wedding Ceremony and Reception
Winery & Vineyard
Online Directory Settings
Display in Online Directory
(Must be approved by Chamber)
Display Name
Phone
Fax
Online Directory Listing Address
Manually Enter
Use Member Mailing Address
Use Member Physical Address
Address
Box/Apt/Suite
City
State, Zip
Business Info
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
Manually Enter
Use Member Mailing Address
Use Member Physical Address
Use Member Directory Address
Address
Box/Apt/Suite
City
State, Zip
Physical Address
Manually Enter
Use Member Mailing Address
Use Member Physical Address
Use Member Directory Address
Use This Reps Mailing Address
Address
Box/Apt/Suite
City
State, Zip
Billing Representative
Primary Rep is Billing Rep
Uncheck if your organization has different primary and billing reps
Name
Title
Email
Use Member Phone
Rep Ph.
Mailing Address
Manually Enter
Use Member Mailing Address
Use Member Physical Address
Use Member Directory Address
Address
Box/Apt/Suite
City
State, Zip
Physical Address
Manually Enter
Use Member Mailing Address
Use Member Physical Address
Use Member Directory Address
Use This Reps Mailing Address
Address
Box/Apt/Suite
City
State, Zip
Membership Dues
Select Membership Level:
Corporate ($1,200.00)
Business - 11+ Employees ($275.00)
Business 6-10 Employees ($200.00)
Business 1-5 Employees ($175.00)
Home-based Business ($125.00)
Non-profit Organization ($75.00)
Individual Member ($75.00)
Thank you!
