Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Best to Contact: *

Membership Dues:

Enhanced Package:

Banner Ad:

Volunteer: *

Event:

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: *

Social Networking:

Facebook

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

Facebook

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:

Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

1 - 20 Employees: $120.00
Business, Club, or Organization with 1 - 20 Employees 21 - 30 Employees: $200.00
Business, Club, or Organization with 21-30 Employees 31 - 50 Employees: $300.00
Business, Clun, or Organization with 31 - 50 Employees 51+ Employees: $500.00
Business, Club or a Organization with 50+ Employees Individual : $25.00
Individual over 60: $20.00
Church: $25.00
Non-Profit: $25.00

Additional Opportunities:

We will contact you with additional information.

Enhanced : $65.00
Add Logo, pictures, video, map showing your location, Highlighted Name and Priority Placement in Business Directory Search, add Hot Deals and post Job Openings. to your Chamber page. (voluntary) Banner and Highlighted Name : $200.00
Banner on every Member Page Possible and name highlighted on Dircctory page

Payment Option:

Charge my credit or debit card

Member Application

Mailing Address

Address

Address