New Membership Application Organization InformationOrganization Name *Physical Address *Email *Phone *WebsiteType of Business *Number of Employees *Description of your Business *Maximum 50 wordsUpload Company LogoChoose FileNo file chosenDelete uploaded fileMax size 4 MB. Only .jpg, .png, .gif files.ContactsPrimary 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 - $225Number of Employees 6-10 - $315Number of Employees 11-20 - $365Number of Employees 21-30 - $425Number of Employees 31-40 - $515Number of Employees 41-50 - $600Number of Employees 51+ - $725Non-Profit - $125Membership Fee$Credit / Debit Card * Submit & Pay
