Member Application

Welcome To The Palestine Area Chamber of Commerce!

We are so excited to have you interested in the Chamber, & we look forward to promoting your business!

Please fill out the application below and a Chamber Team Member will contact you for more information. Also checkout our Member Services Handbook located under the (QUICKLINKS tab under Membership.)

Promoting Your Business Is Our Passion!

**Please note there is an application fee for all applications see additional opportunities**

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

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:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

1-5 Employees: $200.00
6-9 Employees: $234.00
10-20 Employees: $258.00
21-30 Employees: $330.00
31-40 Employees: $393.00
41-50 Employees: $464.00
51-60 Employees: $499.00
61-70 Employees: $534.00
71-80 Employees: $567.00
81-90 Employees: $601.00
91-100 Employees: $627.00
Over 100 Employees: Please contact us to determine the fee.
Non-Profit Organization: $100.00
Individual: $100.00
Not Business Related

Additional Opportunities:

We will contact you with additional information.

**ONE TIME**Application fee for Individual/Non-profit : $25.00
One Time Application Fee Of $25.00 **ONE TIME**Application Fee for Businesses : $50.00
One Time Application Fee Of $50.00 Membership Directory : $0.00
Complete print out of our membership Membership Labels $20 : $20.00
Printed labels of our entire membership

Payment Option:

Bill me Charge my credit or debit card

Please scroll down to view the entire policy and then click Accept.

Decline

I have read and accept the privacy policy of Palestine Area Chamber of Commerce. I grant Palestine Area Chamber of Commerce permission to contact me regarding my account, news, updates, and offers.

Please read and accept the privacy policy before continuing.

Print Application

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Building Business. Building Community.

My Association

712 Design Lane NW, Green Valley MI 56389

800. 555.1212

info@myemail.com

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