Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (300 char max):

Directory Category:

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

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

Login:

Password:

Social Networking:

LinkedIn Facebook MySpace Twitter Instagram

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

Login:

Password:

Social Networking:

LinkedIn Facebook MySpace Twitter Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

1-10 Employees: $250.00
1-10 Employees - this includes full and part time. 11-49 Employees: $425.00
11-49 Employees - this includes full and part time. 50-99 Employees: $725.00
50-99 Employees - this includes full and part time. 100+ Employees: $1,100.00
100+ Employees - this includes full and part time. Individual or Non-Profit: $100.00
Non-Profit must present W9 showing Non-Profit Status. Individuals will NOT have a business listing but will be listed by name only. Agent Listing - available only with Business Listing: $30.00
If you are an agent within a group, such as insurance, real estate, etc., you may have your own separate listing only if the business is a member in good standing.

Additional Fees:

Administrative Fee - One Time : $25.00
This fee is added one time only at the initial joining of the Chamber.

Additional Opportunities:

We will contact you with additional information.

Enhanced Membership : $60.00
Take control of your listing on our website! Add messages, photos, videos and more! Credit Card Fee : $5.00
If you are paying by credit card, please consider an additional payment to help defer fees. As a non-profit, we greatly appreciate the support.

Payment Option:

Charge my credit or debit card

Member Application

Mailing Address

Address

Address