* indicates required fields

    Name of firm or business*:

    Owner / Manager*:

    Business address*:

    Home address:

    Business phone:

    Fax:

    Email*: (this will be the primary contact for all Chamber communications)

    Website:

    Number of full-time employees:

    State category you would like to be listed under in buyers guide (categories are listed on website):

    Provide a brief 1-2 sentence elevator pitch/description of your business. This description will be used in our publications, so make it count!*::

    Upload your logo, which will be featured on our website and used in our publications. Please make sure that your file is named with the name of your business/organization and the current year.

    General Membership Pricing

    Each business location will be billed as its own membership based upon number of employees, with the exceptions as listed.

    Number of Employees:

    1 – 4 $200
    5 – 9 $250
    10 – 19 $300
    20 – 49 $400
    50 – 99 $650
    100 – 149 $1200
    150 – 199 $1600
    200 – 249 $2000
    250 – 499 $2500
    500 + $7000
    At Home Business $120
    Civic & Service Organizations $140
    Individuals $60
    Public Service Utilities $780
    Financial Institutions (includes up to 4 locations) Millions in Deposits
    0 – 50 $1000
    51 – 100 $2000
    101+ $3000