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The New Member Application form has been prepared for easy online processing. Please complete the application below for processing. Your full and accurate response will assist us in this task. Applications for Membership are processed on a daily basis. Should you have any questions, please feel free to contact the Chamber Staff.

New Member Application

Please note that fields marked with a "*" are required.

Business Name	*
Business Address line 1	*
Business Address line 2
Business City	*
Business State	*
Business Zip	*
Telephone #	*
Fax #
E-mail Address	*
Website
Number of Employees	*

Annual Dues*	*
(Note: The employee schedule reflects full time employees. Two part-time employees shall be considered as one full-time employee. Membership dues are tax deductible as necessary business expense as the law will allow.)

Referred By

Directory Classification (Should be the same as your Yellow Pages category)	*

Contact Person 1	*
Title

Credit Card Type
Credit Card #
Exp. Date

If you would prefer to send cash or have us contact you for credit card information please call the friendly staff at (408) 378-6252

Click on "Submit" to send the form.

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