Chamber of Commerce Enrollment Form

Lets businesses and organizations sign up as chamber of commerce members, choose their membership level and add-ons, and submit contact and payment details.

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Date of application

Contact Name*

Contact Title*

Contact Phone*

Contact Email*

Chamber Membership Level*

Individual membership Small business membership Corporate membership Non-profit membership

Chamber Add-Ons (check all that apply):

Newsletter listing Ribbon cutting ceremony Website directory listing Networking event pass

Other Options (check all that apply):

Additional business location Extra employee listings Premium directory placement

Organization / Business Name*

Number of Employees*

Year Established*

Phone number(s) (if different from above)

Email (if different from above)

Business Address (physical location)*

Mailing Address (if different from physical location)

Website:

I have business pages on: (check all that apply)

Facebook Instagram LinkedIn Twitter/X Google Business Profile

-Or- Upload employee list here (optional)

Max 10 MB per file

Non-Profit? If yes, include copy of non-profit status certificate for a 10% discount

Yes No

Payment Options

Credit card Check Bank transfer Invoice me

Additional comments

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