Member - Paulding Chamber of Commerce Membership Application

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website *

Please add your company website.

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Step 2:

Additional Info

Business Description (350 char max) *

Please add your company description.

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category *

Please select a directory category.

Full-time Employees

Part-time Employees

Home Based *

Looks good!

Minority Business Info

Woman Owned?

Minority Owned?

Veteran Owned?

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Phone

Cell Phone

Fax

Contact Preference

Phone

Address

Address line 1

Address line 2

Country

City

State

Postal Code

Create Account

Password

Step 5:

Membership Package

Please select a Membership Package

New Member - Small Business $ 325

New Member - Small Business, Restaurant, Bakery, Real Estate Agent,

New Member - Mid Sized Business $ 500

Chain Restaurants, University, Construction, Contractors, Hotels, Apartments, Senior Living, Professional Services

New Member - Large Business $ 750

New Member - Large Business Manufacturing, Industrial, Auto Dealerships, Corp Contractors, Large Retail

New Member - Banks, Hospital, Utillities $ 1,200

New Member - Banks, Hospital, Utilities

New Member - President's Club $ 2,500

New Member - President's Club

New Member - Chairman's Club $ 5,000

New Member - Chairman's Club

New Member - Non-Profit/Church/Individual $ 200

New Member - Non-Profit/Church/Individual

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Create Account

Step 5:

Membership Package

Payment Option