Membership Form

Brownsville OREGON Chamber of Commerce

Membership Application Form
NAME of business, organization, or individual:*
Contact Person:*

First NameLast Name
Physical Address:*

Street Address

Street Address Line 2

CityState

Postal Code
Is the Mailing address the same as above?

YesNo, see mailing address below
Mailing Address:

Street Address

Street Address Line 2

CityState

Postal Code
Office Phone:

Area CodePhone Number
Cell Phone:

Area CodePhone Number
E-mail:*
New or Returning Member:

I am a Registering as a New MemberI am renewing my membership
Facebook Link:
Instagram Link:
Website Link:
The Chamber’s website directory will include information about your business (about 500 words).Please give us details about your business that would be helpful to us when putting together this page. You’re also welcome to write it yourself:
Please attach photos you would like featured on your Chamber website page:

Cancelof
YOU MUST CHECK A BOX BELOW FOR THE FORM TO WORK!

Membership Options*

BUSINESS 1-5 employees

$125.00

BUSINESS 6-15 employees

$200.00

BUSINESS 16+ employees

$300.00

NONPROFIT Organizations

$75.00

INDIVIDUALDoes not include any business benefits

$35.00

HONORED CITIZEN (65+)Does not include any business benefits

$25.00

Total

$0.00

Credit Card

Apple Pay

Google Pay

Memberships are valid for one year and must be renewed every year to retain member benefits.
PAYING BY CHECK?

If mailing a check, please print this form and make check payable to:

The Brownsville Chamber of Commerce and mail to

PO Box 161
Brownsville, OR 97328.
Signature of Applicant

Clear
Date

DayMonthYear
Once you submit your application, we will contact you to review your membership application.

Thank you!
Should be Empty:

Brownsville OREGON Chamber of Commerce