Member - New Member Application - El Dorado County Chamber of Commerce

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email:

Business Description (200 char max):

Directory Category: *

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

Sponsor:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter Instagram YouTube

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook Twitter Instagram YouTube

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Login:

Password:

Social Networking:

LinkedIn Facebook Twitter Instagram YouTube

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Additional Fees:

Set - Up Fee : $40.00
One time fee. Includes new member plaque.

Additional Opportunities:

We will contact you with additional information.

Gold Member : $100.00
Gold Members receive additional benefits and opportunities to promote their businesses. Auto Renewal : $0.00
Auto Renewal Option - Sign up for auto renewal to secure a 10% discount on your membership renewal by paying online now with your credit card and checking the box - "Notify El Dorado County Chamber of Commerce that I am interested in setting up automatic payments and select to use this profile for the recurring charges." Political Action Committee Voluntary Contribution : $0.00
Notice about voluntary contributions Contributions to Chamber PAC are nondeductible for federal income tax purposes. The following notice is made to comply with federal election laws: the El Dorado County Chamber Political Action Committee, ID # 1341257, receive voluntary contributions from El Dorado County Chamber members. These funds are used to support pro-business candidates running for local and state office and measures of importance to the business community in the area we serve.

Payment Option:

Bill me Charge my credit or debit card

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