Membership Application -

Membership Application

Instructions

Please select the membership level based on the number of local employees at your organization as noted below.

If you are a 501(c)(3) organization, please email Mark with your IRS Determination Letter: mmcminn@thechambernv.org

Health Plan Members are ineligible for the Sole Proprietor membership rate. Please choose accordingly.

Select An Option

Membership Price of Level Selected (Price Range: $199 - $4000 Annually)

Select Level

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist