1. BUSINESS LISTING
(How you'd like your business listed in the public
directory.)
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Company/Organization*:
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Address*:
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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City*:
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Required
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Please enter a valid date
Please enter valid credit card information
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State:
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Zip*:
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Required
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Please enter a valid date
Please enter valid credit card information
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Phone Number*:
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Required
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Please enter a valid date
Please enter valid credit card information
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Fax Number:
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Website:
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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2. MAIN CONTACT PERSON (Is primary contact for
Chamber staff/volunteers and will be listed in the public
directory.)
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First Name*: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Last Name*: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Title: |
Required
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Please enter a valid date
Please enter valid credit card information
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Direct Phone: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Cell Phone: (chamber use only) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Fax Number: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Email: (Chamber use only) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Regarding Chamber Membership, I:
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Regarding Chamber Sponsorship, I:
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3. BILLING INFORMATION
(If different from above.)
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Company/Organization:
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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First Name: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Last Name: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Title: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Address:
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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City:
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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State:
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Zip:
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Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Direct Phone: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Cell Phone: (Chamber use only) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Fax Number: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Email: (Chamber use only) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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4. COMPANY INFORMATION
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Number of Employees:
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Full Time:
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Part Time:
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| Total Employees*: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Number of Hotel/Apartment Units: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Number of Professionals:
(Architect, Attorney, Chiropractor, CPA, Dentist,
Engineer, Investment Broker, Medical Doctor,
Optometrist, Veterinarian) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Year Established: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Primary Business Classification/Category:
(First category included in membership; additional category listings are
available for a nominal fee)
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Business Directory Search Keywords: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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BUSINESS PROFILE: Please provide a brief
profile/description of your company's products and
services. This profile will be included with your
company's online business directory listing free for
your first year of membership! (50 words max)
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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5. ADDITIONAL EMPLOYEES TO RECEIVE CHAMBER INFORMATION BY
EMAIL
(No additional charge!)
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Name: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Title: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Email: (Chamber use only) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Direct Phone: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Cell Phone: (Chamber use only) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Name: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Title: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Email: (Chamber use only) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Direct Phone: |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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Cell Phone: (Chamber use only) |
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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6. YOUR INTERESTS
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To help us better serve you, please tell us the
top two reasons why you are joining our Chamber:
Business Advocacy / Legislative
Business Education
Find Local Suppliers / Vendors
Increase Sales Leads / Sales
Making Connections
Support the Local Community
Other
Required
Please enter a valid number
Please enter a valid date
Please enter valid credit card information
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In addition to Chamber membership, my organization is
interested in learning more about (check all that
apply):
Business Expos
Golf Outing
Mini-Golf Classic
Hosting a Business After Hours
Volunteer Opportunities
Leadership Opportunities (Board Diplomats)
Website / Enews Sponsorships (Banners)
Program / Event Sponsorships
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7. HOW DID YOU FIRST LEARN ABOUT GREATER GREENWOOD CHAMBER
MEMBERSHIP?
Chamber Staff
Chamber Print Directory
Chamber Print Newsletter
Chamber Website
Chamber Email
I'm a Former Member
Current / Former Chamber Member
Required
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Please enter a valid date
Please enter valid credit card information
A Business Advisor
Required
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Please enter a valid date
Please enter valid credit card information
Other
Required
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Please enter a valid date
Please enter valid credit card information
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8. DIRECTORY LISTING ENHANCEMENT OPPORTUNITIES
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