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Member Application

Welcome to the Eastern Montgomery County Chamber of Commerce. The EMCCC offers many benefits and services that can assist in the growth of your business. There is no better way to develop and increase your professional relationships than by being part of this vibrant and growing chamber. If you are a 501C3 please do not join on line, contact the chamber. We will need proof of status. Please fill out the requested information below to join the EMCCC.

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website *

Please add your company website.

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 2:

Additional Info

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

How did you hear about the EMCCC?

Please contact me regarding sponsorship opportunities

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 5:

Membership Package

Please select a Membership Package

1-2 employees $ 325

3-5 Employees $ 365

6-10 employees $ 440

11-25 employees $ 475

26-50 employees $ 575

51-100 employees $ 675

101-200 employees $ 825

201-500 employees $ 1,250

501-1000 employees $ 1,700

Municipalities/Elected Officials $ 315

K-12 Public School District $ 315

Additional Fees:

Application Fee $25 one time

One time Fee

Additional Options:

Premium Membership $300 one time

Additional $300 * Three month complimentary banner ad on EMCCC website (Value $900) * Priority Listing ahead of standard members in online directory *Second Online Category Listing (Value $35)

Payment Option

Charge my credit or debit card

Please complete the Captcha

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