Member

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):

Comments / Questions:

Why are you seeking membership in our Chamber? Please select all that apply.:

Connection - I am looking to expand my network through engaging in membership, events & programming opportunities.:

Advocacy - I want to connect with elected officials and help shape a community that encourages business growth.:

Development - I value growth and want to invest in development opportunities for myself, my team and my business.:

Goodwill - I want to be a Community Champion.:

Did someone refer you to Chamber membership? If so, who?:

Which of the following membership benefits do you plan to utilize and/or peak your interest? Please select all that apply.:

Building your network by attending Chamber events:

Sharing your job postings, business events, and news releases:

Ribbon Cutting Celebration:

Advertising and sponsorship opportunities:

Insurance savings opportunities:

Member to Member Deals:

Seminars for Success - Membership Development Workshops:

Participation in our #GoLocal shared branding initiative:

Young Professionals of Murray:

Leadership Murray:

Are you seeking a specific benefit out of membership that is not listed above? If so, please explain.:

Share With Us:

Is your business minority-owned?:

Is your business woman-owned?:

Is your business veteran-owned?:

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

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

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: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Additional Fees:

New Member Activation Fee : $25.00
One-Time Activation Fee

Payment Option:

Bill me

Member Application

Mailing Address

Address

Address