Membership Form

Membership Form
Name of Business or Individual*
Size of Business/ Dues Structure*

Individual-$50Non-Profit-$100X-Small (1-2 Employees)-$100Small (3-6 Employees)-$150Medium (7-24 Employees)-$250Large (25+ Employees)-$350Solo Professionals $250Group Professionals $550
We have some tremendous supporters who have joined above and beyond their business size level to further support our organization. These members are listed as Platinum members. Contact our office for more information on how to become a Platinum Member
Name of contact person in your business*

First NameLast Name
Phone Number*

Area CodePhone Number
Mailing and Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Belleville Chamber & Main Street is always looking for new volunteers for committees as well as single events and other activities. Please indicate where you would like ot help.
Committees and Events

Ag CommitteeBoard of DirectorsCar ShowDesign CommitteePromotion/Retail CommitteeRocky Pond ChristmasEconomic VitalityOther
Enter coupon code at check out

(Associate)-for out of town members

(New)-for new members
Must join at $150 or above for Grant Eligibility

Membership Dues*

Individual$50.00

Non-Profit$100.00

X-Small$100.00

Small$150.00

Medium$250.00

Large$350.00

Solo Professionals$250.00

Group Professionals$550.00

Enter coupon

Total $0.00