Member - Thurston County Chamber of Commerce

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Referred by::

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

Password: *

Social Networking:

LinkedIn Facebook Twitter

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

Password: *

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

0-5 Full Time Employees: $390.00
2 part time employees equal 1 full time employee 6-10 Full Time Employees: $485.00
2 part time employees equal 1 full time employee 11-15 Full Time Employees: $565.00
2 part time employees equal 1 full time employee 16-25 Full Time Employees: $650.00
2 part time employees equal 1 full time employee 26-50 Full Time Employees: $765.00
2 part time employees equal 1 full time employee

Additional Fees:

New Member Processing Fee : $30.00
Fee to process a new Chamber Membership.

Payment Option:

Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address