Member Application:

* Company Name:  
* Phone:  
Website:
* Email:
* Business Description (200 char max)
* Business Keywords: (enter a space between words)
 
* Physical Address:  
* City/State/ZIP:  
Country:
 
* Mailing Address: Same as physical address
* City/State/ZIP:
Country:
 
* Business Category:
* Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
* Login:
* Password:
 
Social Networking: Facebook:
Twitter:
 
* Address: Same as Member Address
* City/State/ZIP:
Country:
 
 

Billing Contact Information:

Same as Primary Contact
* Name (First / Last):  /   
Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
* Login:
* Password:
 
Social Networking: Facebook:
Twitter:
 
* Address: Same as Member Address
* City/State/ZIP:
Country:
 
 
Membership Package:
Networking Membership: $275.00
Networking your primary reason for joining?
Advertising Membership: $425.00
Would you benefit more from advertising your business, then this is the package for you.
Silver Membership : $750.00
This package provides additional company name listings, a lunch reservation for every Chamber Luncheon and a Tee Box sign at the Golf Tournament.
Gold Membership: $1,500.00
This package provides additional advertising opportunities, Membership Labels, Silver Booth at Expo & Taste, One player in the golf tournament and four seats at the Annual Gala
Platinum Membership: $3,000.00
This package provides additional listings, advertising, a reserved seat at the Chairman's Table for every Luncheon, Two players in the golf tournament and six seats at the Annual Gala.
Additional Fees:
Application Fee: $25.00
One time $25 administrative set up fee
Payment Option:
Bill me
Charge my credit or debit card
 
 
Submit Application:
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