Member

Thank you for your interest in joining our chamber. Below are just a few of the benefits of joining our chamber! --Networking --Visibility --Credibility by Association --Advocacy --Knowledge

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email:

Business Description (200 char max):

Directory Category:

Employees: *

Full-time Part-time

Comments / Questions:

Volunteer for Events?:

Fall Festival Banners/Ads/Pageants Sponsorship:

Golf Tournament Sponsor/Play:

Location for meetings or after hours events:

Donating food costs for meetings or after hours events:

Chamber banquet sponsorship:

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: *

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook

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:

Fax:

Email:

Contact Preference:

Email Phone

Password:

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Business: 01-05 Employee Membership: $250.00
Membership for businesses with one (1) to five (5) employees Business: 06-10 Employees: $300.00
Membership for businesses with six (6) to ten (10) employees Business: 11-20 Employees : $400.00
Membership for businesses with eleven(11) to twenty (20) employees Business: 21-50 Employees : $500.00
Membership for businesses with twenty one (21) to fifty (50) employees Business: 51+ Employees: $600.00
Membership for businesses with more than fifty one (51) employees Individual Membership - No Business Benefits: $50.00
This is a membership for individuals. This membership allows you personally to receive Chamber discounts, but not your business. Family Membership - No Business Benefits: $75.00
This is a membership for a family. This membership allows the family to receive Chamber discounts, but not for any owned businesses. Non Profit Membership: $100.00
If your organization is recognized as a non profit organization.

Payment Option:

Bill me

Print Application

Member Application

Mailing Address

Address

Address