Online Membership Application

Click HERE to view our Annual Membership Investment Levels

Company Information

Company:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone 1:

Phone 2:

Fax:

E-mail:

Website:

Bus. Category 1:

Bus. Category 2:

Established Date:

Full-time Employees:

Part-time Employees:

Business Description:

Character Limit: 0/500

Logo:

Images must be less than 1MB in file size.

Image size may not exceed 1MB.

Create Member Account Login

Your member account allows you to update your information online via a secure login.

Admin E-mail:

Password:

Verify Password:

Contacts

Primary Contact

Prefix:

First Name:

Last Name:

Suffix:

Familiar Name:

Title:

Create Login

Your member login allows you to update your information online and register for events.

Username:

Password:

Verfiy Password:

Use Company contact information

Billing Contact

Send invoices to Primary Contact

Annual Investment Levels

Chairman's Club Platinum Level

$5,000.00

Chairman's Club Gold Level

$2,500.00

Chairman's Club Silver Level

$1,000.00

Chairman's Club Bronze Level

$500.00

Enhanced Business Basic

$295.00

Business Basic

$195.00

Non-Profit Membership

Must present a copy of IRS tax exemption letter - Form 501(c)3

$120.00

Associate/Individual Membership

$70.00

Associate/Couple Membership

$80.00

Total:

$0.00

I accept the invitation for membership in the Wayne County Chamber of Commerce, and I agree to make an annual investment unless cancelled in writing or conveyed to the staff.

Security Code:

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Join the Chamber

Online Membership Application

Online Membership Application