2023 Membership Application

2023 Membership Application
Part 1 - Primary Contact Info

Can answer all membership questions, billing questions, and is the voting representative for this company. The primary contact will be the one that receives all e-communications from the Chamber and will be the email that is contacted first for all Chamber news.
Primary Company Representative Name *
Include this information under the Chamber's Member Listings on our website?

Yes
Primary Company Representative Title *
Include this information under the Chamber's Member Listings on our website?

Yes
Primary Company Representative Phone *
Include this information under the Chamber's Member Listings on our website?

Yes
Primary Company Representative Email *
Include this information under the Chamber's Member Listings on our website?

Yes
Part 2 - Secondary Contact Info

Can answer any Marketing/Advertising for this company.
Secondary Company Representative Name
Secondary Company Representative Title
Secondary Company Representative Phone
Secondary Company Representative Email
Part 3- Membership Options

& Sponsorship Opportunities
INTRODUCING Flat-Rate NBA Chamber Membership Fees: *

$295- Standard Industry Fee (ALL For Profits) $195 - Standard Non-Profit Fee (ALL Non-Profits) $55 Standard Individual Fee (Non-Business)
NBA Chamber Sponsorship Packages - Please check any that you are interested in. *

+$699/year - Bronze Package +$1399/year - Silver Package +$2499/year - Gold Package +3599/year - Platinum Package +$1000/year - Minor Event Sponsor +$3999/year - Home & Garden Expo Presenting Sponsor +$4999/year - Fall Harvest Festival Presenting Sponsor +$6999/year - Golf Classic Tournament Presenting Sponsor +$0/year - Not at this time
Other Options (check all that apply): *

We would like to learn more about additional sponsorship opportunities. We have a new, relocated, or revamped business and would like a ribbon cutting ceremony We are interested in becoming a Chamber Board Member We would like to be join a Chamber Team We would like to be contacted as a donor to the Chamber for events, promotions, luncheons, etc. Please include us in your Member to Member E-Blasts.
Part 4 - Organization / Business Info

For the online directory and all Chamber records.
Organization / Business Name *
Include this information under the Chamber's Member Listings on our website?

Yes
Number of Full-Time Employees *
( every 2 part-time employees= 1 full-time employee )
Year Established
Year Company/Business Joined NBACC
Phone #'s (if different from Primary Contact)
Phone, fax, toll-free
Include this information under the Chamber's Member Listings on our website?

Yes
Email (if different from Primary Contact)
example@example.com
Include this information under the Chamber's Member Listings on our website?

Yes
Business Address (physical location) *
Address, City, State, ZIP
Include this information under the Chamber's Member Listings on our website?

Yes
Mailing Address (if different from physical location)
Address, City, State, ZIP
Website: *
Leave blank if none
Include this information under the Chamber's Member Listings on our website?

Yes
I have business pages on: (check all that apply- all selected will be shown on the Chamber's website under the Member Listings) *

Facebook Instagram LinkedIn Other
Social Media Links:

Facebook Instagram
Linked In Other
Part 5 - Payment Info
Payment Options *

Send me a paper Invoice to send payment Check or Cash Included with this Application Please send me an electronic invoice with a link that I can pay by credit/debit card or ACH to the following email:
Mail any payment to: North Branch Area Chamber of Commerce, 6063 Main Street Suite B, North Branch, MN, 55056.
In Person/Zoom Appointment: We encourage ALL members to schedule an in-person meeting at your convenience to ensure you are getting all of the benefits that will best help your business. We would be happy to meet either at the Chamber office or we can come to you!
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2023 Membership Application

Part 1 - Primary Contact Info

Part 2 - Secondary Contact Info

Part 3- Membership Options

Part 4 - Organization / Business Info

Part 5 - Payment Info