Membership Application

Please complete the following application.

Details

Company/Individual Name

Phone

Ex. (888) 555-1234

Company Website

Company Email

Year Business Established

Reason for Joining

Addresses

Mailing Address

Enter Below

Physical Address

Business Categories

Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
Category 7
Category 8
Category 9
Category 10
Category 11
Category 12

Online/Print Directory Info

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	Temporarily Disabled - Email your logo directly to the Chamber.
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	2023 Annual Dues Amount Prorated for 4th quarter. The annual rate for corporate membership is $1,200 per year. 2024 dues will be due on 1/1/2024 Membership is based on the number of employees. 2023 Annual Dues The annual rate for 11+ Employees is $275 per year. Amount due is Prorated for the 4th quarter. 2024 dues will be due on 1/1/2024. Membership is based on the number of employees. 2023 Annual Dues The annual rate for Business 6-10 Employees is $200 per year. Amount due is Prorated for the 4th quarter. 2024 dues will be due on 1/1/2024 Membership is based on the number of employees. 2023 Annual Dues The annual rate for Businesses 1-5 Employees is $175 annually. Amount due is Prorated for the 4th quarter. 2024 dues will be due on 1/1/2024. 2023 Annual Dues 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. The annual rate for a Home-based business (no Storefront) is $125 per year. Amount due is Prorated for the 4th quarter. 2024 dues will be due on 1/1/2024. 2023 Annual Dues This membership requires a 501c3 or similar tax status. The annual rate for Non-Profit is $100 per year. Amount due is Prorated for the 4th quarter. 2024 dues will be due on 1/1/2024. 2023 Annual Dues This membership is for individuals who support the chamber and do not want to advertise a business. The annual rate for individual members is $75 per year. Amount due is Prorated for the 4th quarter. 2024 dues will be due on 1/1/2024.

Membership Dues

Select Membership Level

Thank you!