Join the Chamber

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 sperate 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

2019 Advertising Opportunities

Membership Directory Ad

Coupon Page Ad

Please select the events/meetings you are interested in sponsoring during 2019

Monthly Meeting Sponsor

Invoiced Month of Meeting.

Month Preference for Meeting Sponsorship

Business Afterhours Sponsor

Invoiced Month of Sponsorship

After hours Theme Sponsorship Preference

Chamber Banquet Sponsor

Heartland Alumni Event

Community Days

Invoiced July 1, 2019.

Authorizing Signature

Type your name to signify who completed this form.