Application Chamber Membership Application Please fill out the form below to apply for Chamber membership. Business Name* Type of Business*CorpLLCPartnershipSole ProprietorPCPLLCNon-Profit 501(c)3Non-Profit 501(c)6EducationFamily OwnedOtherAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Primary Phone*Number of Employees*Full Time Number of Employees*Part Time Name & Title of Company Decision MakerName, Primary Representative* This is who we'll contact for things like membership renewal.Title* Email* Primary Phone*Direct PhoneContact Preference* Phone Email Name, Secondary Representative Title Email Alternate PhoneDirectory InformationKeywords that categorize your product and/or services* Web Address Areas of Interest:To dramatically increase the rate of return on your dues investment, please indicate which of the following are of interest to you. I am interested in participating in:(check all that apply) Community Relations Member Relations Networking Opportunities Leads Group Application fee* I understand there is a one time application fee of $25 due upon first member paymentI have read and understand the following:* Chamber Membership does not become effective until payment of first annual dues are remitted. Chamber dues are not tax deductible as a charitable expense; however, they may be deductible as an ordinary business expense. (Please consult your tax advisor for your particular situation.) CommentsThis field is for validation purposes and should be left unchanged.