Membership Application

 

If you would like to pay by check, please contact Don Neer at don@napleschamber.org.

   
Organization Information (to be displayed online)
Organization Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Fax
Website
Email *
Username (to access chamber website)
Password (to access chamber website)
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
Additional Information
Main reason for joining us?
Who were you referred by?
Advertising Opportunities (Please check if you would like more information)
Business Currents Magazine
Chamber Website
Packet Program
(Relocation/Visitor Info Requests)
Visitor Information Center
(Ad panels & kiosks)
Executive Club
(Enhanced Membership)
Member Spotlight
(Email Entire Membership)
Membership Investment
Membership Type: *
Primary Directory Category *
Additional Directory Categories
  • Primary Directory listing is complimentary
**Hold CTRL on your keyboard to select multiple categories**
Number of Full Time Employees:  
Number of Part Time Employees:  
Number of Units (Accommodations):  
Number of Units (Apartments/Condos):  
Number of Associates (Realtors):  
Number of Professionals (Physician, Attorney, Architect, & Engineering Offices):  
Number of Developments:  
Number of Beds (Hospitals/Health Care Facilitie):  
Number of Independent Living Beds:  
Licenced Beds:  
Number of Lots:  
Millions in Deposits (Financial Institutions):  
Second Location Business:
(Second location or a different, second business with full membership privileges - $190)
Executive club Enhanced Membership:
(50% of your total membership cost, minimum $195)
   
$ 
$ 
$ 
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
Additional Beds
Additional Beds Cost
Additional Beds
Additional Beds Cost
Additional Lots
Additional Lots Cost
Assets
Assets Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
additionalItem2Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
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Mailing Address (if different)
Street
City
State
Zip
*
Credit Card Information
Credit Card Type *
Credit Card Number * 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Please click submit only one time.  The transaction may take several seconds.

Thank you to the gracious support of our Chamber Legacy Leaders