Membership Application

New Member Application
(*) Denotes Required Fields
Company Information
Company: *
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Web Site:
Online Links:
Business Category #1:
Please contact us with questions regarding business categories.
Full-time Employees:
Part-time Employees:
Members-only Access
Members-only allows you to update your information online via a secure login.
Admin E-mail: *
Password: *
Verify Password: *
Primary Contact Person
Prefix:
First Name: *
Last Name: *
Suffix:
Familiar Name:
Title:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Billing Contact Person
Prefix:
First Name: *
Last Name: *
Suffix:
Familiar Name:
Title:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip: *
Phone 1: *
Phone 2:
Fax:
E-mail: *
Additional Business Category(s)
Business Category #2: $0.00
Business Category #3: $0.00
Business Category #4: $0.00
Business Category #5: $0.00
Membership Investment Rates**Annual Membership starts date of Joining
Memberships that include multiple locations are subject to an additional charge of $100 per location. Please contact Meaghan Doherty at meg@plymouthchamber.com if you have multiple locations and would like to join the chamber.
Onetime Application Processing Fee:$25.00
__________
Total:$275.00
Payment Options
(*) Denotes Required Fields

Calendar

May01

ServSafe

May03

Advanced Excel

May06

Bark in the Park Walk, Run Wag

May06

Plymouth Bark in the Park

May15

Choke Saver Certification

May17

Driving Accountability in your Organization

May17

DIY Digital Video for Small Businesses Workshop