Member Application:

* Company Name:

* Phone:

Website:

* Email:

Business Description (200 char max)

* 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:

	Membership Investment: 1 Employee: $225.00 New Member
	Membership Investment: 2-5 Employees: $275.00 New Member
	Membership Investment: 6-10 Employees: $325.00 New Member
	Membership Investment: 11-20 Employees: $400.00 New Member
	Membership Investment: 21-30 Employees: $500.00 New Member
	Membership Investment: 31-40 Employees: $700.00 New Member
	Membership Investment: 41-50 Employees: $900.00 New Member
	Membership Investment: 51+ Employees: Please contact us to determine the fee. Plus $20 per employees over 51 with a max of $1500 - New Member
	Membership Investment: Civic/Volunteer Organization: 501 c-3 Certificate Required - New Member
	Membership Investment: Associate Member: Retired Individual, Clergy, Teacher, Elected Official-New Member
	:

Additional Fees:

New Member Initiation Fee
One time fee for NEW Memberships Only

Payment Option:

Charge my credit card

Submit Application:

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Woodbury, MN Chamber of Commerce

Member Application:

Primary Contact Information:

Billing Contact Information: