Member - Jefferson Chamber of Commerce

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Postal Code

Step 2:

Additional Info

Directory Category

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

How were you referred? *

Looks good!

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Email *

Please add a valid email.

Contact Preference

Phone

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Phone

Cell Phone

Contact Preference

Phone

Step 5:

Membership Package

Please select a Membership Package

Primary Membership $386.25

$375 Annual Membership plus 3% Credit Card Convenience Fee

Preferred Membership $721

$700 Annual Membership plus 3% Credit Card Convenience Fee

Premium Membership $1,287.50

$1250 Annual Membership plus 3% Credit Card Convenience Fee

Affiliate (Individual) Membership $206

$200 Annual Membership plus 3% Credit Card Convenience Fee - Applicable only to retired persons, members of the clergy, educators, and government employees.

Associate Membership $283.25

$275 Annual Membership plus 3% Credit Card Convenience Fee - Applicable only to elementary/secondary schools, higher educational institutions, churches, non-profit/charitable organizations

Additional Options:

Voluntary PAC Dues $175 one time

$175 PAC Donation

Payment Option

Charge my credit or debit card

Please complete the Captcha

Back Next Submit Application Print Application

Connect With Us

Jefferson Chamber of Commerce

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Step 4:

Billing Contact

Step 5:

Membership Package

Additional Options:

Payment Option

Contact Us

Connect With Us

A proud member of