Southwest Michigan First Chamber Application

Chamber Application

Membership Type*

New Chamber Membership
Renew Chamber Membership

Chamber Payment*

Chamber Promoter Level Member - $250
Chamber Leader Level Member - $500
Chamber Champion Level Member - $1,000
Chamber Catalyst Level Member - $2,500

Main Contact

First Name*

Last Name*

Title

Company/Organization

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

Additional Contacts

Additional Contact

First Name	Last Name	Phone	Title

Additional Contact's Email

Enter Email Confirm Email

Interests

I am interested in learning more about the following membership benefits:

Chamber investor exclusive cost-saving offers
Relationship-building opportunities
Community Leadership opportunities
Advocacy and Public Policy
Sponsorship and Advertising Opportunities
Education and Training Opportunities
Request a One-on-One Consult with a Member from Our Team

Business Category

Select Business Categories

Social Media Information

Twitter Address

Facebook Address

Instagram

LinkedIn Address

Website

Billing Contact

Same as Main

Name

First Last

Address

Mailing Address Street or Physical Address City State ZIP Code

Email

Phone

Order Information

Total

$0.00

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Please make sure to fill in all fields, as this is used to create the listing in the Online Directory.

Chamber Membership Application

Chamber Application - Single form: Authorize

Chamber Application

Main Contact

Additional Contacts

Interests

Business Category

Social Media Information

Billing Contact

Order Information

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Chamber

Region

Programs & Events

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Southwest Michigan First