Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website: *

Email: *

Business Description (500 char max): *

Directory Category: *

Employees:

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

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

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

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

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Bronze Level Membership: $225.00
See link to Fee Schedule above for more information on this level. Wine and Hospitality Map Membership: $350.00
See link to Fee Schedule above for more information on this level. Silver Level Membership: $500.00
See link to Fee Schedule above for more information on this level. Gold Level Membership: $1,000.00
See link to Fee Schedule above for more information on this level. Founder's Circle Membership: $2,500.00
Please contact us for more information about this level of membership. Founder's Circle Membership starts January of each year and runs the entire fiscal year. Chairman's Circle 2020: $0.00
Please contact us for more information about this level of membership. Chairman's Circle Membership starts January of each year and runs the entire fiscal year. Associate Member: $0.00
An individual (not a business) that wishes to join the chamber 501c3 Non Profit Corporation: $150.00
See link to Fee Schedule above for more information on this level. Same benefits as the Bronze Level Membership.

Payment Option:

Bill me Charge my credit or debit card

Member Application

Mailing Address

Address

Address