MCOC Membership Registration

MCOC Membership Registration

Please complete this form to apply for your Manchester Chamber of Commerce Membership. Please complete this form to the best of your ability. A representative will reach out to you within 3 business days to confirm your information.
Please provide details of at least one employee who will serve as company laison with the Chamber and attend our meetings
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Business name
Or organization name to which you belong
Business Email
example@example.com
How many persons are employed to this business?

Just me (I have no employees)1 - 5 Employees6 - 10 Employees11 - 19 Employees20+ EmployeesOther
Business Logo

Formats: JPG, PNG
Cancelof
Business Phone Number
Please enter a valid phone number.
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Website
Please enter your business website address here
Tell us about your business
Give a brief description that can help members to understand your business

Business Social Media Accounts

Please provide 2 business references

	Reference Name	Telephone	Position/Relation
Reference #1
Reference #2

Were you invited or recommended by a member of the Chamber? If so, please state the persons name below.
If you weren't invited, it's ok. Thanks for registering!
Signature

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