Thank you for your interest in The Willoughby Area Chamber of Commerce.
 

Member Application:

* Company Name:  
* Phone:  
Website:
* Email:
* Business Description (200 char max)
* Business Keywords:
 
* Reason Joined:
* Reason Joined/Anthem:
* Reason Joined/Comp Management:
 
* Physical Address:  
* City/State/Zip:  
Country:
 
* Mailing Address: Same as physical address
* City/State/Zip:
Country:
 
* Business Category:
* Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
* Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
 
Address: Same as Company Address
City/State/Zip:
Country:
 
 

Billing Contact Information:
Same as Primary Contact
* Name (First / Last):  /   
* Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
 
Address: Same as Company Address
City/State/Zip:
Country:
 
 
Membership Package:
1-5 Employees: $160.00
Number of Employees 1-5
6-10 Employees: $170.00
Number of Employees 6-10
11-25 Employees: $215.00
Number of Employees 11-25
26-50 Employees: $235.00
Number of Employees 26-50
51-100 Employees: $300.00
Number of Employees 51-100
100+: $400.00
Number of Employees 100+
Utilities, Banks, Goveernment Entities: $300.00
Civic Member: $70.00
Person Employed by an organization which is non-corporate, non-business who may wish to support the chamber's activities
: 
2nd level 1-5: $80.00
2nd level 1-5
2nd level 6-10: $85.00
2nd level 6-10
2nd level 11-25: $107.50
2nd level 11-25
2nd level 26-50: $117.50
2nd level 26-50
2nd level 51-100: $150.00
2nd level
: 
Additional Fees:
Set up Fee
One time set up fee is assessed to new members
Additional Opportunities:
We will contact you with additional information.
Optional One-time Hyperlink fee
One time charge
Internet Advertising: Banner Ad
One Year Fee
Newsletter Advertising
Option 1: Per Issue
Newsletter Advertising
Option 2: Full Year
Payment Option:
Charge my credit card
 
 
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