ChamberMaster « The Chamber of Commerce Inc.

Business Information

Company Name: *

Phone: *

Website:

Email: *

Business Description (200 char max):

Business Category:

Employees:

Full-time Part-time

Business Keywords:

Keyword 1 Keyword 2 Keyword 3 Keyword 4 Keyword 5 Keyword 6 Keyword 7 Keyword 8

Comments / Questions:

How did you hear about THE CHAMBER?: *

I would like to offer the following Member-to-Member Discount.:

Physical Address

Line 1: *

Line 2:

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State / Province:

ZIP / Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Social Networking:

LinkedIn Facebook YouTube Twitter

Address

Same as Company Address

Line 1:

Line 2

City:

State / Province:

Zip / Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Social Networking:

LinkedIn Facebook YouTube Twitter

Address

Same as Company Address

Line 1:

Line 2

City:

State / Province:

ZIP / Postal Code:

Country:

Membership Options

Membership Package: *

Membership: 1-5 Employees: $275.00
Membership dues for businesses with 1 to 5 employees Membership: 6-25 Employees: $340.00
Membership dues for businesses with 6 to 25 employees Membership: 26-50 employees: $415.00
Membership dues for businesses with 26 to 50 employees Membership: 51 to 75 employees: $545.00
Membership dues for businesses with 51 to 75 employees Membership: 75 to 100 employees: $665.00
Membership dues for businesses with 75 to 100 employees Membership: 100+ Employees: $805.00
Membership dues for businesses with 100+ employees Membership: Non-profit (501c3 only): $150.00
Membership dues for a 501c3 non-profit organization Associate Membership: $75.00
Membership dues for an unemployed or retired individual looking to network or stay active. Corporate Membership: $1,000.00
Membership dues for a business with multiple locations

Additional Fees:

New Member Admin Fee ($50/one time fee - REQUIRED)
New Memember Administrative Fee (REQUIRED)

Payment Option:

Charge my credit card

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 9 plus 4?: *

Member Application

Physical Address

Mailing Address

Address

Address