Chamber Application

New Member Application

Company Information

Company:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone 1:

Phone 2:

Fax:

E-mail:

Website:

Bus. Category 1:

Bus. Category 2:

Bus. Category 3:

Established Date:

Full-time Employees:

Part-time Employees:

Business Description:

Character Limit: 0/500

Logo:

Images must be less than 1MB in file size.

Image size may not exceed 1MB.

Create Member Account Login

Your member account allows you to update your information online via a secure login.

Admin E-mail:

Password:

Verify Password:

Contacts

Primary Contact

Prefix:

First Name:

Last Name:

Suffix:

Familiar Name:

Title:

Create Login

Your member login allows you to update your information online and register for events.

Username:

Password:

Verfiy Password:

Use Company contact information

Billing Contact

Send invoices to Primary Contact

Membership Investment Rates

For Profits (excluding banks)

Billing Frequency:

By choosing the monthly payment option, I understand that I am entering into a 1-year partnership with the chamber and agree to pay all monthly dues invoices. After completing the 1-year partnership, I understand that my membership will renew automatically unless the chamber is given 30-day notice to terminate partnership.

# Employees

Annual Dues

1-15

$220.00

16-49

$385.00

50+

$690.00

1-15

$20.00

16-49

$35.00

50+

$65.00

$220.00

Banks

$690.00

Non-Profits

Must send chamber a copy of 501(c)3

$155.00

Individual Membership

This level of membership is designed for an individual who has withdrawn from or are not active in employment (i.e. retiree)

$75.00

Total:

$0.00

Security Code:

Please enter the security code above.

Chamber Application

New Member Application

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