Member - Dorchester Chamber of Commerce, MD

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Member Application

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

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

Address line 2

Country

City

State

State *
Please add your State.

State

Postal Code

Social Network Addresses

LinkedIn

Facebook

Twitter

Step 2:

Additional Info

Business Description (200 char max) *
Please add your company description.

Business Keywords * (enter a space between words)
Please add your business keywords.

Directory Category

Full-time Employees

Part-time Employees

Referral Source

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

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.

Social Network Addresses

LinkedIn

Facebook

Twitter

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

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.

Social Network Addresses

LinkedIn

Facebook

Twitter

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

0-4 Full-Time Employees $ 200
2 Part-Time = 1 Full-Time

5 - 10 Full-Time Employees $ 240
2 Part-Time = 1 Full-Time

11 - 25 Full-Time Employees $ 310
2 Part-Time = 1 Full-Time

26 - 50 Full-Time Employees $ 375
2 Part-Time = 1 Full-Time

51 - 100 Full-Time Employees $ 490
2 Part-Time = 1 Full-Time

101+ Full-Time Employees $ 635
2 Part-Time = 1 Full-Time

Non-Profit 0-4 FT Employees $ 145
2 Part-Time = 1 Full-Time

Non-Profit 5-10 FT Employees $ 172
2 Part-Time = 1 Full-Time

Non-Profit 11-25 FT Employees $ 210
2 Part-Time = 1 Full-Time

Non-Profit 26-50 FT Employees $ 270
2 Part-Time = 1 Full-Time

Non-Profit 51-100 FT Employees $ 365
2 Part-Time = 1 Full-Time

Associate Member $ 60
Associate Member - Non-business membership

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

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