Membership App

Business Name/Organization*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Website

E-mail*

example@example.com

Phone Number*

Please enter a valid phone number.

Cellular Number*

Business/Organization Primary Contact Name*

First NameLast Name

Title

Type of Business*

Number of Employees*

Date Established

Date

Please provide a description of your business/organization:*

Please indicate your interest in the following:*

Is Mailing address same as physical address?*

YesNo

If no, please enter mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Signature*

Date*

Date

My Products

Small Business 1-10 EmployeesGeneral Chamber Membership for Small Businesses with up to 10 employees.

$150.00

Medium Business 11-20 EmployeesGeneral Chamber Membership for Medium Businesses with up to 20 employees.

$250.00

Large Business 20+ Employees/Financial Institutions General Chamber Membership for Large Businesses with over 20 employees and Financial Institution Memberships.

$350.00

Non-Profit MembershipChamber Membership for Non-Profit Organizations.

$125.00

Friend of the Chamber - Community SupporterIndividual Chamber Membership-No Business

$75.00

Jr. EntrepreneurJr. Entrepreneur Chamber Membership (up to 18 years old)

$50.00

Additional Multi-Business MembershipMembership for an additional business for members with more than one business. Must have regular membership for first business to qualify.

$90.00

Total

$0.00

Oak Harbor Area Chamber of Commerce