Member - Indian Valley Chamber of Commerce

Member Application

Business Information

Company Name: *

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Phone: *

Website:

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Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Physical Address

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City: *

State: *

Postal Code: *

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Mailing Address

Same as physical address

Line 1:

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State:

Postal Code:

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Social Networking:

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Primary Contact Information

First Name: *

Last Name: *

Title:

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Cell Phone:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

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:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Membership: 1-5 Employees: $205.00
Membership: 6-10 Employees: $242.00
Membership: 11-25 Employees: $295.00
Membership: 26 - 50 Employees: $395.00
Membership: 51-75 Employees: $460.00
Membership: 76-100 Employees: $515.00
Membership: 101-250 Employees: $600.00
Membership: 250+ Employees: $600.00
Each employee over 250 will be invoiced at .50 per employee. Enhanced Member Listing: $35.00
*Logo – Photos – Priority Placement in the Online Business Directory – 1600 Character Business Description, with an additional 200 Character – Description right in the search results – Receive an enhanced map listing pin which includes more information when clicked Associate Membership: $100.00
For MEMBERS ONLY to add an additional location or company to their chamber membership

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