Member Application

Step 1:

Member Info

Company Name *

Please add your company name.

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.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Postal Code

Social Network Addresses

Facebook

Step 2:

Additional Info

Business Description (200 char max)

Business Keywords (enter a space between words)

Directory Category

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Create Account

Password

Step 5:

Membership Package

Please select a Membership Package

INDIVIDUAL $ 75

Non-business. Personal

ENTREPRENEUR/ NON-PROFIT $ 125

No Storefront. Non-profit organization

BASIC BUSINESS $ 175

General Business membership.

CORPORATE $ 250

Large company or multiple location membership

PREMIER $ 500

Premier Membership includes additional digital advertising.

VIP BUSINESS $ 1,000

VIP Membership includes additional digital advertising, and more.

Comments/Questions

Payment Option

Charge my credit or debit card

Please complete the Captcha

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Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Create Account

Step 4:

Billing Contact

Create Account

Step 5:

Membership Package

Payment Option

Gulf County Chamber of Commerce