The Shiawassee Regional Chamber of Commerce: Join the Chamber

Membership Services

Fill in the form below and click the "submit" button. You will then be able to pay your membership fee online using our secure shopping cart. A representative of the Chamber Member Services Department will get in touch with you soon to complete the registration process. Those fields named in red are required information in order to process your application; fields named in blue are specifically to address Web page visitors.

We do not share any of your personal information with outsiders. You may specify what information is published on the Web and in our printed material. After you submit this form you will see links to the "Member's Free Autopage Specifier" where you can choose the content you would like to appear when people access your Web page and the "Members Only" page for other revisions to your membership record.

Business Name:

Owner/Manager:

Chamber "Key Contact"
(if different than above):

Business Address:

City:

State:

Zip:

Business Phone:

Customer Contact Person:

Customer Contact Phone:

FAX:

E-mail:

Web site URL:

Billing Address
(if different than above):

Number of full-time employees (including owner):

Number of part-time employees:

Date business was established:

Reason for joining:

Choose the appropriate level of membership investment from the table at right:

Number of Employees:	Membership Rate for 2008:
Sole Prop	$243.00
2-5	$252.00
6-10	$287.00
11-20	$350.00
21-30	$411.00
31-60	$522.00
61-99	$597.00
100+	$726.00

Note: A one-time $25.00 processing fee will be added (for new members only).

Please provide up to 16 keywords to aid people in finding your business. Single words seperated by a comma (example: shoes, boots, shoe repair, owosso, corunna).

Please provide a brief description of your products and services:

NOTES:

A chamber representative will be contacting you with final registration information. After you hear from the Chamber, you can use the "Members Only" Web pages to submit changes to your record or customize the content of your FREE Member's Web Page. (If you already have a Web site, your existing site will be hyperlinked from your free Member page.)