Membership Application

Please complete the following application form. A member of our staff will contact you after the application has been received to complete the process.

If you would prefer to fill out the application by hand, you can download the printable application (pdf).

Details

Company/Individual Name

Phone

Company Website

Company Email

Preferred Method of Communication

Year Business Established

Full Time Employees

(Closest #)

Part Time Employees (Closest #)

Reason for Joining

HUB

Minority Owned

Veteran Owned

Woman Owned

Addresses

Mailing Address

Enter Below

Physical Address

Business Categories

Category 1

Online/Print Directory Info

Display in Online Directory
(Must be approved by Chamber)

Business Info
Display Name
Phone
Fax
Online Directory Listing Address
	,


Note Displayed on Initial Website Search (250 characters)
Short Description for Website
Business Logo	Temporarily Disabled - Email your logo directly to the Chamber.
Website
Website 2
Email
Facebook
Twitter
YouTube
Instagram

Primary Representative

Name
Title
Email
Username (email recommended)
Password (Members Only Area)
Confirm Password (Members Only Area)
Use Member Phone	Rep Ph.
Mailing Address
	,


Physical Address
	,

Billing Representative

Primary Rep is Billing Rep
Uncheck if your organization has different primary and billing reps

Membership Dues
Select Membership Level	Includes Basic Membership Benefits plus the following: Promote company at various events through signage and attendance Resource Guide Publication and Electronic Version on our website Morning Business Connections Networking Event Invitations to all Chamber Events 2 Annual Banquet Tickets 5 Event Tickets 1 Voting Representative Include Basic Membership Benefits, plus: Promote company at various events through signage and attendance 4 Annual Banquet Tickets 8 Event Tickets 1 Voting representative Includes Basic Membership Benefits plus the following: Promote company at various events through signage and attendance Resource Guide Publication and Electronic Version on our website Morning Business Connections Networking Event Invitations to all Chamber Events Events 1 Annual Banquet Table Tickets 1 Event Table Sponsorship (Table of 10) 1 Voting Representative

Membership Dues

Select Membership Level

Thank you! A member of our staff will contact you to complete the application process.