Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email:

Business Description (200 char max):

Directory Category:

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Veteran Owned:

Women Owned:

Minority Owned:

LBGTQ+ owned:

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:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram

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 Twitter Instagram

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Additional Opportunities:

We will contact you with additional information.

Enhanced Online Directory Listing $125 : $125.00
Add logo, weblink, photos and video to basic directory listing-Yearly Web Advertising - Banner Rotating 720 x 90 (id 195) 6 mos $260 : $260.00
6 mos of web ad on chamber website Banner Rotating 720 x 90 pixels (id 195) Web Advertising - Banner Rotating 720 x 90 (id 195) Yearly $500 : $500.00
Yearly web ad on chamber website Banner Rotating 720 x 90 pixels (id 195) Web Advertising - Banner Rotating 720 x 90 (id 195) Monthly $100 : $100.00
Monthly web ad on chamber website. Banner Ad included on the following 6 pages: Business Directory, Hot Deals, Jobs, Marketplace, Member to Member Deals and Community Events pages. Banner rotating 720 x 90 pixels Community Deals Monthly : $10.00
Promote your specials or share coupons with the community on our Community Deals Page. Community Deals Yearly : $100.00
Promote your specials or share coupons with the community on our Community Deals Page.

Payment Option:

Bill me Charge my credit or debit card

Member Application

Mailing Address

Address

Address