Join the Chamber

Online Membership Application

Company Information

Company:

*

Address Line 1:

*

Address Line 2:

City:

*

State:

*

Zip:

*

Phone 1:

*

Phone 2:

Fax:

E-mail:

*

Website:

Bus. Category 1:

Bus. Category 2:

Bus. Category 3:

Bus. Category 4:

Bus. Category 5:

Established Date:

Full-time Employees:

*

Part-time Employees:

*

Business Description:

Character Limit: 0/500

Logo:

Images must be less than 1MB in file size.

Image size may not exceed 1MB.

Contacts

Primary Contact

Prefix:

First Name:

*

Last Name:

*

Suffix:

Familiar Name:

Title:

Create Login

Your member login allows you to update your information online and register for events.

Username:

*

Password:

*

Verfiy Password:

*

Use Company contact information

Billing Contact

Send invoices to Primary Contact

Annual Membership Investment

Business Membership

$225.00

Non-Profit Membership (501c3)

$175.00

Second Business/Location

$100.00

Total:

$0.00

Security Code:

Please enter the security code above.

**

Businesses

Events

Member Employees

Join the Waterford Area Chamber