Member - Membership Application - Evergreen Area Chamber of CommerceEvergreen Area Chamber of Commerce

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Business Keywords (enter a space between words): *

Business Notes: *

Opt Out for Text Messages:

Referred by:

Best way for the Chamber to reach you?: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Instagram

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Nonprofit Organization:
$300 Annually, 25% discount off upper tiers Entrepreneur Level:
$350 Annually Business Level:
$575 Annually Business Plus Level:
$700 Annually Executive Level:
$1150 Annually Partner Level:
$2550 Annually Chairman's Circle:
$5280 Annually Networking Level:
$150 Annually for an Individual Only

Additional Fees:

Administrative Set up Fee : $40.00
One-time Set Up Fee

Additional Opportunities:

We will contact you with additional information.

Website Hotlink : $49.00
FREE for Business Level and above Additional Directory Categories : $50.00
Only Business Level and above can purchase additional categories Additional Marketing Opportunity : $99.00
Insert of Flyer in Printed Newsletter Printed Mailing Labels : $40.00
Printed Set of Mailing Labels

Member Application

Member Application