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Member Application

Thank you for wanting to be a part of our Chamber family. Just fill out the application below and email it back to us. Your credit card information is secure. Remember: we are here to help you any time. Just call us at (203) 869-3500 or write us at greenwichchamber@greenwichchamber.com if you have any questions.

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

City *

Please add your City.

State *

Please add your MN.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your MN.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Step 2:

Additional Info

Business Keywords (enter a space between words)

Directory Category

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

How did you hear about us?

Referred By

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.

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

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Social Network Addresses

LinkedIn

Facebook

Twitter

YouTube

Instragram

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Phone

Email

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1

Address line 2

City

State

Postal Code

Country

Social Network Addresses

LinkedIn

Facebook

Twitter

YouTube

Instragram

Step 5:

Membership Package

Please select a Membership Package

Individual $360.00

2-5 Employees $400.00

6-10 Employees $515.00

11-20 Employees $650.00

21-30 Employees $800.00

31-50 Employees $900.00

51-100 Employees $1,250.00

101-200 Employees $2,000.00

201+ Employees $2,350.00

Not-For-Profit Membership $210.00

Please submit 501(c)3

Banks and Financial Institutions $475.00

Per Branch

Additional Options:

Logo on Website - $100/year $100.00

Add your company logo to online membership directory listing

Business Description - $50/year $50.00

Add a description to your listing in the online membership directory to make sure you catch potential customer's eyes.

Comments/Questions

Payment Option

Charge my credit or debit card

Please complete the Captcha

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© 2020 Greenwich Chamber of Commerce | Site by GrowthZone

Greenwich Chamber of Commerce

45 East Putnam Avenue, Suite 121
Greenwich, CT 06830

(203) 869-3500 phone
(203) 869-3502 fax
greenwichchamber@greenwichchamber.com

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