Rockford-Greenfield Area Chamber of Commerce

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 

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