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Membership Application

 
   
Organization Information (to be displayed online)
Organization Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Fax
Website
Email *
Main Contact
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title
Phone *
Email *
Additional Contacts
Billing Address (if different)
Street
City
State
Zip
Mailing Address (if different)
Street
City
State
Zip
Additional Information
Referred by
How did you hear about us?
What is your reason for joining?
Please have someone contact me regarding
*Check all that apply
Join a Council
Gift Certificate Program
Cost Savings Programs
(Insurance, Office Supplies, Wireless Services)
Advertising Options
Advocacy
Networking
Other           
Membership Investment
Membership Type: *
Primary Directory Category *
Additional Directory Categories
**Hold CTRL on your keyboard to select multiple categories**
Number of Full Time Equivalent Employees:  
Gift Certificate Program ($30):
   
$ 
$ 
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
tempValueForDropDown1
Number of Part Time Employees:  
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
$ 
*
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Payment Information
Invoice Me Pay by Credit Card (Chamber Staff will call to get credit card information)
Please click submit only one time.  The transaction may take several seconds.

Our Location
Heart of the Valley
Chamber of Commerce, Inc.
101 E. Wisconsin Avenue
Kaukauna, WI 54130
p: 920.766.1616
e: info@heartofthevalleychamber.com



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