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Greater Gardner Chamber of Commerce

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Online Membership Application

Please complete all applicable sections.
Company Name
Company Street Address
City, State and Zip
Telephone
Fax
Mailing Address
(if other than above)

Billing Address
(if other than above)

Section II
Type of Business
No. of Years in Business
No. of Employees
Other Locations (3)

1.
2.
3.

Parent Company and Address
(if applicable)

A purchase order is required by my company to do business with the Greater Garder Chamber of Commerce.

If checked, please indicate below the appropriate process for our records, including the contact department and person responsible for the issuance of purchase order numbers:
Section III
In order for us to communicate effectively with our members and to eliminate waste in mailings and other publications, we ask that you consider who in your organization you would like to receive information on our programs, services and networking opportunities. The Main Representative should be the CEO/manager/owner/operator, followed by others:
Main Representative
(Name, Title, Ext.)
Additional Representatives (5)
(Name, Title, Ext.)



Section IV
Your membership to the Greater Gardner Chamber of Commerce becomes effective with the completion of this application and full payment of your annual investment as defined by our Membership Investment Schedule. Your renewal will be automatically invoiced on an annual basis unless advised otherwise by a representative of your organization. The Board of Directors vote monthly to accept all members upon recommendation of the Membership Services Coordinator and upon approval of the President & CEO.
Name of Person Completing Form
Date of Application
Sponsor
Membership Investment
(to be completed by Chamber Staff)
Member Plus+
Our various Committees and Groups are very important at the Greater Gardner Chamber of Commerce. If you would like to assist the Chamber in completing its mission by becoming involved, please indicate your interest below:
Committee Interest #1
Committee Interest #2

Once all information is present, press the submit button and then click "OK." There will not be a confirmation page, but you will receive a confirmation e-mail once we have processed your form.

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