Required Field*
Business Name:*
Contact Name:*
Position:
Mailing Address:
City:
State: Zip:
Business Type: (See current membership list)
Telephone:*
Fax:
Toll Free Phone:
Business Website Address:
Contact Email:
Business Email:
Interest Areas:
Additional information to be published on Chamber’s website:
Business Hours:
Description of business (25 words or less):
Membership Investment Information:
Your Membership Classification (See investment schedule for classification):
Number of Full-Time Equivalent Employees (FTE’s): (2 part-time employees = 1 FTE)
Your membership investment calculation (per schedule) $: