Join the Chamber
Business
Type
Contact
Review
Pay
Step 1 - Complete Business Information
Complete and submit the form below to register to become a Rockford-Greenfield Chamber Member. This system walks you through paying either by check or credit card.
*
denotes required fields
Business Name:
*
Phone:
*
Fax:
Email:
*
Website:
(ex: http://www.mysite.com)
No. of Full Time Employee(s):
No. of Part Time Employee(s):
ADDRESS INFORMATION
Address 1:
*
Address 2:
City/State/Zip:
*
*
*
MAILING ADDRESS
(if different from company address above)
Mailing Address:
City/State/Zip:
BILLING ADDRESS
(if different from company address above)
Billing Address:
City/State/Zip:
DAYS/HOURS OF BUSINESS
Hours:
(ex: 8:00AM)
Open
Close
Open
Close
Mon.:
Fri.:
Tues.:
Sat.:
Wed.:
Sun.:
Thur.:
DESCRIBE YOUR BUSINESS
(must be 30 words or less)
Description:
Words remaining:
MEMBERSHIP INVESTMENT
Annual Investment:
Full Membership: Includes voting privileges and link on Chamber's website
$100.00
Associate/Individual Membership: Includes name on Chamber website. No voting privileges.
$50.00
CLICK ONLY ONCE
Business
Type
Contact
Review
Pay
