New Membership Application Organization InformationOrganization Name *Physical Address *Email *Phone *WebsiteType of Business *Number of Employees *Description of your Business *Maximum 50 wordsContactsPrimary ContactName *Title *Email *Phone *Address *Secondary ContactNameTitleEmailPhoneAddressAdditional Contacts to receive E-Newsletter and Chamber Information/Event Reminders:NameEmailNameEmailMembership LevelSelect Your Level *Number of Employees 1-5 - $190Number of Employees 6-10 - $265Number of Employees 11-20 - $305Number of Employees 21-30 - $350Number of Employees 31-40 - $425Number of Employees 41-50 - $500Number of Employees 51+ - $600Non-Profit - $125Membership Fee$Credit / Debit Card * Submit & Pay
