Member Application
Thank you for your interest in the Coral Springs Coconut Creek Regional Chamber of Commerce! Please call the office at (954) 752-4242 for more information.
Business Information
Company Name:
*
Leave Blank:
Phone:
*
Website:
Email:
*
Directory Category:
--- Select Primary Category ---
Accounting
Advertising
Air Conditioning/Plumber
Apartments
Appliances
Attorney
Background/Employee Screening
Bakery
Banks
Builder/Developer
Business & Residental Services
Business Coaching/Consulting
Catering Services
Children's Shoe Store
Coffee/Tea/Wine/Gifts
Commercial Real Estate/Management
Computer/Phone/Web
Cosmetic
Credit Card Processing
Cruises/Travel
Dealerships/Vehicle Services
Dentist/Orthodontist
Dermatology
Dining
Doctors
Electrical
Employment/Staffing/Payroll
Entertainment
Event Services
Financial Planning/Financial Services
Florist
Funeral Services
General Contractors
Golf Club
Government
Grocery
Health & Fitness/Wellness
Health Care
Health/Life/Annuity
Hospital/Urgent Care/Clinic
Hotels/Motels
Import/Export
In Home Cooking/Personal Chef
Insurance/Title
Interior Design
Investment
Invitations/ Mailing
Jewelry
Landscaping
Magazine/Newspaper/Blog
Manufacturing/Distributors
Marketing/Web/Social Media
Memory Care
Mortgage
Mortgage
Moving/Storage
Non-Profit
Pet Care
Photographer
Podiatrist
Printing/Engraving/Promotional Products
Professionals Services
Property Management
Psychological
Residential Real Estate/Management/Title
Restoration/Disaster Cleanup
Roofing
Salon/Spa/Massage
Schools/Tutoring
Senior Living/Services
Shipping
Shopping
Shopping & Specialty Retail
Sports & Orthopedic
Tree Services
Utilities
Veterinary
Employees:
*
Full-time
Part-time
Comments / Questions:
Join Reason:
*
How did you hear about the chamber/referral :
*
Where is your business located?:
*
Coral Springs
Coconut Creek
Other
Did you work with a Chamber Staff member or salesperson?:
*
President/CEO (Cindy)
Executive Vice President (Char)
Director of Marketing and Communications (Johnny)
Administrative Assistant (Teresa)
Marketing Assistant (Lizzie)
I don't know
I did not work with a staff member
Do you have connections that would benefit from the Chamber? Please provide their business, name and contact information.:
Check here if you would like to be added to our texting list:
Physical Address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Mailing Address
Same as physical address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Primary Contact Information
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Email:
*
Contact Preference:
Email
Phone
Login:
*
Password:
*
Social Networking:
LinkedIn
Facebook
Twitter
Instagram
Address
Same as Member Address
Line 1:
Line 2
City:
State:
Postal Code:
Country:
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Billing Contact Information
Same as Primary Contact
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Email:
*
Contact Preference:
Email
Phone
Login:
*
Password:
*
Social Networking:
LinkedIn
Facebook
Twitter
Instagram
Address
Same as Member Address
Line 1:
Line 2
City:
State:
Postal Code:
Country:
--- Select Country ---
Canada
United States
Membership Options
Membership Package:
*
General Business 1-4
:
$410.00
1-4 Employees
General Business 5-10
:
$470.00
5-10 Employees
General Business 11-20
:
$565.00
11-20 Employees
General Business 21-50
:
$715.00
21-50 Employees
General Business 51-100
:
$850.00
51-100 Employees
General Business 100+
:
$1,135.00
100+ Employees
Trustee
:
Trustee Level Member - Contact the Chamber for more information
Banks, Credit Unions, Financial Institutions
:
$880.00
Each Additional Location will cost an additional $745
Non Profit Organization
:
$330.00
Non Profit Organization
Additional Fees:
One Time Admin Fee
:
$35.00
Admin fee of $35
Additional Opportunities:
We will contact you with additional information.
Additional/New Category
If you are creating a New Category or want an Additional Category, fee is required
Gold Package Upgrade
:
$150.00
Benefit from your membership! We have enhanced our membership opportunities. With our gold membership, you receive: Gold package listing: priority placement over basic listing Logo/image next to company info Expanded character description (1600 words) Additional website link above phone number in search results 20 keywords 5 bullet points Enhanced google map with pin 6-10 photos & link to one YouTube Video Basic: Random placement below priority placement listings 200 character description 8 keywords
Payment Option:
Charge my credit or debit card
Please scroll down to view the entire policy and then click Accept.
MEMBER CODE OF CONDUCT / SERVICE COMMITMENT PLEDGE
MY ROLE
:
I acknowledge that my primary role as a member is to contribute to the defining of the organization’s mission by adhering to the bylaws.
MY COMMITMENT
:
I will act in a manner to enhance and maintain the reputation of the organization.
I PLEDGE
:
To always act for the good of the organization, focusing my efforts on supporting the vision, mission and goals of the Chamber.
To work with and respect the opinions of other members, and to leave my personal prejudices out of all Chamber events.
To represent this organization in a positive, dignified and supportive manner at all times and in all places, considering myself as a representative of this organization.
To treat other members, Chamber staff members and other volunteers with respect and courtesy.
To represent equitably and fairly the interests of all businesses, organizations and people served by the Chamber.
To comply with all applicable laws, rules and regulations applying to non-profit organizations, the Bylaws and the terms adopted by the Board.
Minimize risk of the Coral Springs
Coconut Creek Regional
Chamber of Commerce by agreeing with the antitrust policy statement which reads:
The Coral Springs Coconut Creek Regional Chamber of Commerce (CSCCRCOC) is organized for the purpose stated above
and
not
intended
to, and may not, play any role in the competitive decisions of its members or their employees, or
in
any way restrict the competition in any aspect of the business community
.
The
CSCCRCOC
through
thi
s
statement of policy makes it
clear its unequivocal support for the policy of
competition
served by the anti
-
trus
t
laws
and
its uncompromising intent to comply strictly in all respects with those laws
.
It is the individual responsibility of every member of the chamber to be guided by the anti-trust
laws.
It shall be
the
responsibility of committee, chairpersons and Chamber officers to assure
that
this policy
is
known and
adhered
to in
the
course of
activ
i
ties pursued under their leadership. It is not the Chamber's role to act as an arbiter or judge of competitive conduct of
its
members
.
As such, this statement of antitrust policy
is
not
a
mechanism through which members should charge another member with alleged illegal action.
Decline
I have read and accept the
privacy policy
of Coral Springs Coconut Creek Regional Chamber of Commerce. I grant Coral Springs Coconut Creek Regional Chamber of Commerce permission to contact me regarding my account, news, updates, and offers.
Please read and accept the privacy policy before continuing.
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