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:

Recommended by: *

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:

LinkedIn Facebook Twitter Yelp Instagram

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Yelp 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:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Yelp Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Additional Fees:

One Time Setup Fee : $50.00
This $50 fee is only applicable for new members.

Additional Opportunities:

We will contact you with additional information.

Top Banner : $225.00
Prime position for a 260x91 px banner ad that will appear at the top of the Chamber's homepage. The fee is $225 per month. billed quarterly. Middle Banner : $200.00
This 300 x 300 px sized web banners will appear at the middle of the homepage. The fee is $200 per month, billed quarterly. Footer Banner : $150.00
Front Page position on the lower half for this banner ad 300x300 px. The fee is $ 150 per month billed quarterly. Ribbon Cutting Event : $100.00
We’ll help you promote your Chamber Ribbon Cutting event, invite our Ambassadors, Board Members, and Chamber members, bring the Ribbon and Large Scissors, and take professional pictures for only $100.00. (Monday – Thursday Only.)

Payment Option:

Charge my credit or debit card

Member Application

Mailing Address

Address

Address