Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Referred by::

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:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone:

Cell Phone:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Email:

Contact Preference:

Email Phone

Login:

Password:

Membership Options

Membership Package: *

1-5 Employees: $200.00
$200 + $25 Processing Fee: New Members must pay the $25 New Member Processing Fee in addition to their Membership dues. This is a one-time fee item. 6-10 Employees: $225.00
$225 + $25 Processing Fee: New Members must pay the $25 New Member Processing Fee in addition to their Membership dues. This is a one-time fee item. 11-25 Employees: $275.00
$275 + $25 Processing Fee: New Members must pay the $25 New Member Processing Fee in addition to their Membership dues. This is a one-time fee item. 26-50 Employees: $300.00
$300 + $25 Processing Fee: New Members must pay the $25 New Member Processing Fee in addition to their Membership dues. This is a one-time fee item. 51+ Employees: $350.00
$350 + $25 Processing Fee: New Members must pay the $25 New Member Processing Fee in addition to their Membership dues. This is a one-time fee item. Education/Government: $175.00
$175 + $25 Processing Fee: New Members must pay the $25 New Member Processing Fee in addition to their Membership dues. This is a one-time fee item. Retired/Non-Profit: $150.00
$150 + $25 Processing Fee: New Members must pay the $25 New Member Processing Fee in addition to their Membership dues. This is a one-time fee item. Shared Account: $100.00
$100 + $25 Processing Fee: ** Please contact the Chamber Office to verify that your organization or business applies for this type of Membership: 708.532.5700 **

Additional Fees:

New Member Processing Fee : $25.00
New Members must pay the $25 New Member Processing Fee in addition to their Membership dues. This is a one-time fee item.

Payment Option:

Charge my credit or debit card

Member Application

Mailing Address