Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website: *

Email: *

Business Description (400 char max): *

Directory Category: *

Employees:

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Add your Village Business Tax License Number Here:

If individual rep, please type in your parent company below.:

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 Twitter YouTube Google+ instagram iTunes Pinterest Houzz Yelp

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: *

Small Business: $250.00
For businesses with under 5 employees - one (1) representative Restaurant : $295.00
For restaurants, food & beverage markets Corporate : $395.00
For businesses with over 5 employees - three (3) representatives Trustee: $1,300.00
The highest level of membership, helping to support the Chamber's many programs and events - five (5) representatives Condominium Association: $195.00
For Condos - two (2) representatives Additional Reps (Realtors): $95.00
If your brokerage firm has a membership, you may become a member at this rate. Not for Profit Organizations: $135.00
For Not for Profit Organizations - one (1) representative Social (for Retired Individuals): $50.00
This category is reserved for individuals not in business

Additional Fees:

One time Processing fee- $25 : $25.00
For entering your business in brochures, linking website and social media, etc

Payment Option:

Charge my credit or debit card

Member Application

Mailing Address

Address

Address