Membership Application
Name of Business
Contact Person (Owner or Employee)
Business Address
City
State
Zip Code
Phone
Alternate Phone
Fax
Email Address
Website Address
How did you hear about the Chamber?
Describe your product or services:
If new business, when do you plan to open?
Additional information you want us to know about your business:
What member of the Chamber referred you as a member?
Membership Investment
 Corporate (251 or more employees): $1000  
 Major Business (25-250 employees): $400  
 Small Business (3-24 employees): $125  
 Micro Business (1-2 employees): $75  
 Churches / Non-Profits: $75  
 Government: $75 
 Individual: $40 
Payment Method
 Cash  
 Check / Money Order  
 Visa  
 Mastercard  
 American Express 
Credit Card Number
Expiration Date
Zip Code