Join the Chamber

Membership Application

(*) Denotes Required Fields

Company Information

Company:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone 1:

Phone 2:

Fax:

E-mail:

Web Site:

Online Links:

Business Category #1:

Please contact us with questions regarding business categories.

Full-time Employees:

Part-time Employees:

Members-only Access

Members-only allows you to update your information online via a secure login.

Admin E-mail:

Password:

Verify Password:

Primary Contact Person

Prefix:

First Name:

Last Name:

Suffix:

Familiar Name:

Title:

Use Company contact information above.

Address Line 1:	*
	Address Line 1 or Line 2 required.
Address Line 2:
City:	**
State:	**
	Incorrect format for State (XX).
Zip:	**

Phone 1:	***
	Incorrect format for Area Code (###).
Phone 2:
	Incorrect format for Area Code (###).
Fax:
	Incorrect format for Area Code (###).
E-mail:	**

Billing Contact Person

Send bills to Primary Contact above.

Prefix:

First Name:

Last Name:

Suffix:

Familiar Name:

Title:

Use Company contact information above.

Address Line 1:	*
	Address Line 1 or Line 2 required.
Address Line 2:
City:	**
State:	**
	Incorrect format for State (XX).
Zip:	**

Phone 1:	***
	Incorrect format for Area Code (###).
Phone 2:
	Incorrect format for Area Code (###).
Fax:
	Incorrect format for Area Code (###).
E-mail:	**

Additional Business Information


	How did you hear about us? (Event, Website, Social Media, Newspaper, Outlook Magazine, Community, Other)



	Reason for joining (Examples: Networking, Professional Development, Legislative action, Insurance, Discount Programs, ect.):



	Referred to Membership by:

Enhancements To Your Online Directory Listing Opportunities

	Enhanced Listing - $150.00
	$150.00

	Grey Color Background

	Yellow Color Background

Membership Investment Schedule

Standard

Annual investment is based on the number of full-time equivalent employees in your organization (two part-time employees = one full-time employee).

Annual Investment:

$350.00


	Number of Employees	Amount

	1 thru 2	$350.00
	3 thru 5	$405.00
	6 thru 10	$510.00
	11 thru 30	$580.00
	31 thru 50	$825.00
	51 thru 100	$1,120.00
	101 thru 200	$1,320.00
	201 thru 400	$1,500.00
	401 thru 600	$1,870.00
	601 thru 800	$2,255.00
	801 thru 1000	$2,805.00

	If 1001+ employees, contact the Chamber for pricing.

Non-Profit (501c3)

Annual investment is based on the number of full-time equivalent employees in your organization (two part-time employees = one full-time employee).

Annual Investment:

$315.00


	Number of Employees	Amount

	1 thru 2	$315.00
	3 thru 5	$365.00
	6 thru 10	$460.00
	11 thru 30	$525.00
	31 thru 50	$750.00
	51 thru 100	$1,000.00
	101 thru 200	$1,190.00
	201 thru 400	$1,390.00
	401 thru 600	$1,685.00
	601 thru 800	$2,000.00
	801 thru 1000	$2,530.00