Business Name
Business Owner or Contact
First Name
Last Name
Email
example@example.com
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number 1
Please enter a valid phone number.
May we text you at the phone number above?
Yes, you may text the number above.
No, I do not want to receive texts.
Phone Number 2
Please enter a valid phone number.
May we text you at the phone number above?
Yes, you may text the number above.
No, I do not want to receive texts.
Website Address
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Additional Contacts
If there are multiple owners or other personnel you wish to receive correspondence please fill out this section. If no additional contacts please move to page 3.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
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Are you planning an Open House / Ribbon Cutting at your business?
Yes
No, not at this time.
Reason for Ribbon Cutting
New Business
New Owner
New Location
Remodel
Groundbreaking
Requested Date for Ribbon Cutting. Please allow 10-14 days notice before planned ribbon cutting.
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
May we send you, via email, our flyer on Ribbon Cutting Best Practices. It has helpful tips for having a great event.
Yes
No, thank you.
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Membership Type
All memberships are based on yearly enrollment. For example, if you sign up and pay your membership on July 8th, you will be invoiced each following year on July 8th. Memberships will be invoiced electronically. Each membership will be enrolled for reoccurring billing each year on the anniversary of your enrollment. If you would like to pay for your membership via Check, you may send it to this address: Farmington Chamber of Commerce c/o Memberships PO Box 1152 Farmington, AR 72730
Please check appropriate membership.
Corporate Membership (More than 300 employees) Annually: $300.00
Financial Institutions or Utility Company Membership Annually: $200.00
Base Membership Annually: $150.00
Upload Logo here for display on Chamber Website.
Logo Link
Add Website Address you would like the business logo to link to.
I am verifying that I have provided the full and correct information about my business to the Farmington Chamber of Commerce:
My Products
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Corporate Membership (More than 300 employees) Annually: $300.00
$
300.00
Quantity
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Financial Institutions or Utility Company Membership Annually: $200.00
$
200.00
Quantity
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Base Membership Annually: $150.00
$
150.00
Quantity
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Market Vendor Membership: $75.00
Only paying Farmers Market Vendors
$
75.00
Quantity
1
2
3
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9
10
Credit Card
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