Member - Hartland Area Chamber of Commerce, MI

Member Application

Welcome and thank you for your interest in the Hartland Area Chamber of Commerce serving the Hartland area.
Business Information

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Phone: *

Website:

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Directory Category: *

Employees: *

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Business Keywords (enter a space between words): *

Comments / Questions:

Would like to Volunteer (Y/N):

Physical Address

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Mailing Address

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Primary Contact Information

First Name: *

Last Name: *

Title:

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Cell Phone:

Fax:

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Contact Preference:

Email Phone

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Social Networking:

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Address

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City: *

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Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

1-10 Employees: $215.00
11-50 Employees: $315.00
51-100 Employees: $380.00
100+ Employees: $430.00
Associate Membership: $140.00
additional representatives of a member business Non-Profit/Club: $95.00
Add'l/Spousal Business: $115.00

Additional Fees:

Application Fee : $25.00
$25 Application Fee

Additional Opportunities:

We will contact you with additional information.

Enhanced Website Listing : $120.00
Priority placement and add photos and/or videos to your member page Additional Category : $50.00
For each additional category

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Bill me Charge my credit or debit card

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