Member - Clinton Area Chamber of Commerce

Member Application

Welcome to the Clinton Area Chamber of Commerce.
Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

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

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

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: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

1-3 Full Time Employees: $222.00
1-3 Full Time Employees: $389.00
Dues Plus 4-11 Full Time Employees: $258.00
4-11 Full Time Employees: $452.00
Dues Plus 12-30 Full Time Employees: $361.00
12-30 Full Time Employees: $613.00
Dues Plus 31-75 Full Time Employees: $464.00
31-75 Full Time Employees: $812.00
Dues Plus 76-250 Full Time Employees: $618.00
76-250 Full Time Employees: $1,082.00
Dues Plus 251+ Full Time Employees: $773.00
251+ Full Time Employees: $1,353.00
Dues Plus Financial & Investment: Please contact us to determine the fee.
Financial & Investment: Please contact us to determine the fee.
Dues Plus Government & Utility: $850.00
Government & Utility: $1,488.00
Dues Plus Hospital: $438.00
Hospital: $767.00
Dues Plus Educational: $284.00
Educational: $497.00
Dues Plus Friend of the Chamber: $73.00
Individual Friend of the Chamber: $127.00
Dues Plus / Individual Non-Profit Organization: $150.00
Non-Profit Organization: $262.00
Dues Plus Direct Sales: $150.00
No brick and mortar location Direct Sales: $262.00
Dues Plus / No brick and mortar location

Payment Option:

Bill me

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