Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (600 char max): *

Directory Category: *

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

I would prefer not to receive the yearly membership plaque:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Additional Fees:

Administration Fee : $25.00
One time application fee

Additional Opportunities:

We will contact you with additional information.

Website Business Listing with Logo/Pictures : $0.00
1 = $50 per year Newsletter Advertising - Digital Flyer Inserts : $75.00
$75 per insert; digital copy of 350 KB max Website Button Advertising : $50.00
$50 per month/$500 annual

Payment Option:

Charge my credit or debit card

Sequim Dungeness Valley Chamber of Commerce

Member Application

Sequim-Dungeness Chamber of Commerce

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