Chamber Membership Form

Business Name

Contact Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please include physical and PO Box if necessary

Phone

Fax

Email

If adding more than one email address, please seperate each email with a ";"

Website

Product or service you would like to be listed under in the directory :

List no more than 10 categories. The first category you list will be used for the printed directory.

Year you began your business:*

Membership Level*

Please invoce us:

Preferred Type of Payment

Upload Business Logo

Max. file size: 300 MB.

2021 Advertising Opportunities

Membership Directory Ad

Coupon Page Ad

Please select the events/meetings you are interested in sponsoring during 2021

Monthly Meeting Sponsor

Invoiced Month of Meeting.

Month Preference for Meeting Sponsorship

Women in Business Meeting Sponsor

Invoiced Month of Meeting.

Business Afterhours Sponsor

Invoiced Month of Sponsorship

After hours Theme Sponsorship Preference

Chamber Banquet Sponsor

Invoiced: October 1, 2021

Alumni Weekend

Invoiced September 1, 2021

Community Days

Invoiced June 1, 2021

Henderson Henderson Tailgate

Invoiced August 1, 2021

Authorizing Signature*

Type your name to signify who completed this form.

Date*