Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Directory Category:

Employees: *

Full-time Part-time

Comments / Questions:

Join Reason: *

How did you hear about the chamber/referral : *

Where is your business located?: *

Did you work with a Chamber Staff member or salesperson?: *

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: *

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:

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:

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:

Membership Options

Membership Package: *

General Business 1-4 : $430.00
1-4 Employees General Business 5-10: $495.00
5-10 Employees General Business 11-20: $595.00
11-20 Employees General Business 21-50: $750.00
21-50 Employees General Business 51-100: $895.00
51-100 Employees General Business 100+: $1,195.00
100+ Employees Trustee: $2,500.00
Trustee Level Member Banks, Credit Unions, Financial Institutions: $925.00
Each Additional Location will cost an additional $785 Non Profit Organization: $345.00
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

Member Application

Mailing Address

Address

Address

MY ROLE:

MY COMMITMENT:

I PLEDGE: