Membership Form

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 Information
Additional Business Category(s)
#2:
#3:
Referred by:
Please refer a friend to the Chamber.
Name:
Phone number:
How did you hear about us?
What do you hope to gain from Chamber membership?
Investment Levels
Amount:$225.00
Number of EmployeesAmount
1-2$225.00
3-15$295.00
16-30$375.00
31-50$425.00
51-100$525.00
100+$750.00
One Time Processing Fee for New Members$20.00
__________
Total:$20.00
Non-Profit Organizations are limited to Human Service Organizations and subject to the discretion of the Chamber. Contributions or gifts to the Greater Bowie Chamber of Commerce are not tax deductible as charitable contributions for income purposes. However, they may be deductible as ordinary and necessary business expenses subject to restrictions imposed as a result of lobbying activities.
(*) Denotes Required Fields