Member - publiclayout_blog - Chadron Chamber of Commerce, NE

Step 1:

Member Info

Company Name *

Please add your company name.

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.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Postal Code

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

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

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.

Postal Code *

Please add your Postal Code.

Facebook

Twitter

Instagram

Create Account

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

Phone

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.

Social Network Addresses

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Associate Investment $115

Non- Profits, Individuals, Farm & Ranch

Entrepreneurial Investment $160

Home - based Bed & Breakfasts, Outfitters & Gides

Business Investment $335

Retail, Service, Professional *Investment based upon Total Employment 1-2 Employees $335 3-4 Employees $425 5-7 Employees $510 8-10 Employees $620 11-13 Employees $725 14-16 Employees $830 17-20 Employees $945 21-30 Employees $1,205 31-40 Employees $1,430 41-50 Employees $1,740

Hospitality Investment $440

Hotels/ Motels * Plus $4.95/room

Public Investment $520

Local, State, and Federal Agencies Schools, Hospitals

Utilites Investment $1,120

Electric, Natural Gas, Telephone/Telecommunications

Financial Institutions $1,295

Banks, Credit Unions * Plus $ 24.00/ one million in deposits

Comments/Questions

Payment Option

Bill Me

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Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Membership Package

Payment Option

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