Member - Western Douglas County Chamber of Commerce

Business Information

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Phone: *

Website:

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Business Description (200 char max):

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Employees:

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Business Keywords (enter a space between words):

Comments / Questions:

2nd Business Catergory Listings:

3rd Business Catergory:

Physical Address

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Mailing Address

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Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

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Address

Same as Member Address

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City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Non-Profit Organizations: $200.00
Annual Membership for Non-Profit Organizations Business 1-5 Employees: $200.00
Annual Membership Dues for Business with 1-5 Employees Business 6-10 Employees: $240.00
Annual Membership Dues for Business with 6-10 Employees Business 11-24 Employees: $360.00
Annual Membership Dues for Business with 11-24 Employees Business 25-49 Employees: $480.00
Annual Membership Dues for Business with 25-49 Employees Business 50+ Employees: $600.00
Annual Membership Dues for Business with 50+ Employees

Payment Option:

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