Member

Your annual chamber partnership is based on the number of full-time employees. Here is the fee schedule for reference Less than 5 employees Start Up Only first year in business $165, 1-10 employees $330; 11-20 employees $415; 21-49 employees $570; 50-99 employees $725; 100-199 employees $865; 200-399 employees $985; over 400 employees $1,295; Additional Business Partners for a Company $250; Home-based Partner Business $250; Non-profit Partner $200, Retiree Partner $100.00, Leadership Alumni Graduate $100.00, Food Truck Partners $50.00

Business Information

Company Name: *

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Phone: *

Website: *

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Referred By:

Interested in Legislative Issues:

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Interested in Small Business financing programs:

Interested in participating in a Committee:

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Physical Address

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Mailing Address

Same as physical address

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Country: *

Social Networking:

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Primary Contact Information

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Last Name: *

Title: *

Phone: *

Cell Phone: *

Fax:

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Contact Preference:

Email Phone

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Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

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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

Password: *

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Print Application

Member Application

Mailing Address

Address

Address