Member Application Business Information Company Name: * Leave Blank: Phone: * Website: Email: * Business Description (200 char max): * Directory Category: --- Select Primary Category --- Accounting Tax Services Advertising/Marketing Appliances Art Studio/Art Instruction Asphalt and Concrete Products Associate Member Attorneys ATVs and Snowmobiles Sales and Service Auto Repair and Service Automobile Dealer Beauty Salons Bicycle Manufacturing Bicycle Sales Book Store Cabinet Shop Campground Candy Production Car Wash Carpet Cleaning/Disaster Restoration Catering Cell Phone Company Chamber of Commerce Chiropractic Physician Clothing Coffee Shop Commercial/Retail Rental Property Computer Sales, Service, and Internet Providers Concert Sound Conference Center Construction Services Convenience Store Copier Service and Sales Dentists Department Stores Disability Assistance/Employment Distribution Center Education Elderly Care and Assistance Electrical Services Embroidery & Screen Printing Emergency Food Pantry Employee Benefits Employer Services Employment Agency and Services Engineering Firm Engraving Event - Food Sales Event - Retail Sales Excavation Family Fun Fast Food Restaurant Financial Institutions Financial Planning and Investments Fire Extinguisher Service and Sales Firearms Fireplace Service and Sales Floor Coverings Florists Flour and Grain Products Food Products Foot Zones Foster Care Framing Fruit Stand Funeral Services Furniture and Home Furnishings Garage Doors Garden Centers Gas Station General Surgery Gifts, Home Décor, Crafts, and Gift Wrapping Glass Golf Course and Instruction Government Entity Grocery Store Hardware Store Headstones Health and Fitness Heating & Cooling Home Health Care and Hospice Hospital Hotels, Motels, and Resorts Installment Lending Insulation Insurance Kid's Activities Landscape Services Locksmith Manufacturing Marble / Granite Massage Therapy Medical Office Metal Recycling Mortgage Companies Museum Music Instruction Newspaper Nonprofit Organizations OB/GYN Office Furniture/Print Management Office Supplies Optometrist/Opthamologist Orthodontics Orthopaedic Physicians Painter Parking Lot Striping/Snow Removal Pest Control Pet Care and Grooming Pharmacy Phone Book Publisher & Advertising Photography Pipeline Construction Pizza Restaurant Plumber Pneumatic Tools/Fossil Preparation Police Department Printing Services Property Management Public Power Company Public Utility Company Quality Inspection Services Ranching & Farm Supplies Real Estate Real Estate Development Rentals Restaurant RV Park Sign Production Sleep Medicine Social Club/Bar Spa & Wellness Center State Park Storage Facility Supplier Telephone Systems Theatre Thrift Store Title and Escrow Company Towing Trailer Sales Transportation Trap Club Truck Stop Trucking Company TV Production/Government TV Underground Utilities Urgent Care Facility Vacation Rental Home Vending Machines Wedding/Event Services Wildlife Refuge Employees: Full-time Part-time Business Keywords (enter a space between words): * Comments / Questions: Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: Line 2: City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Primary Contact Information 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: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen 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: * --- Select Country --- Canada United States Membership Options Membership Package: * Home Based Business Membership Investment: $60.00 Government Entity Membership Investments: $65.00 Nonprofit Organization Membership Investment: $65.00 Educational Institution Membership Investment: $65.00 1 - 2 Employees Membership Investment: $100.00 3 - 5 Employees Membership Investment: $155.00 6 - 9 Employees Membership Investment: $195.00 10 - 14 Employees Membership Investment: $240.00 15 - 24 Employees Membership Investment: $295.00 25 - 49 Employees Membership Investment: $355.00 50 - 99 Employees Membership Investment: $415.00 100 - 199 Employees Membership Investment: $465.00 200 - 299 Employees Membership Investment: $515.00 300 - 399 Employees Membership Investment: $615.00 400 - 599 Employees Membership Investment: $765.00 600 - 799 Employees Membership Investment: $915.00 800 - 999 Employees Membership Investment: $1,065.00 1000 + Employees Membership Investment: $1,315.00 Bronze Partner Membership Investment: $1,500.00 Bronze Partner Membership Investment becomes a Chamber partner and receives all membership benefits plus the following advertising benefits: Ad in Chamber Referral Directory, 2 Seats at Annual Banquet Dinner, 1 Sponsorship of a Tee Box at Golf Tournament, 2 Passes to all Networking Events and 2 Passes to all Eggs and Issues Breakfasts. All Chamber Partners also receive: Framed Business Logo Displayed in Chamber Office Special Recognition during Annual Banquet Special Recognition in front of Referral Directory Silver Partner Membership Investment: $2,000.00 Silver Partner Membership Investment becomes a Chamber partner and receives all membership benefits plus the following advertising benefits: Ad in Chamber Referral Directory, 4 Seats at Annual Banquet Dinner, 1 (4) Person Team at Golf Tournament, 2 Passes to all Networking Events and 2 Passes to all Eggs and Issues Breakfasts, and a $250.00 Level of Peach Days Sponsorship. All Chamber Partners also receive: Framed Business Logo Displayed in Chamber Office Special Recognition during Annual Banquet Special Recognition in front of Referral Directory Gold Partner Membership Investment: $2,500.00 Gold Partner Membership Investment becomes a Chamber partner and receives all membership benefits plus the following advertising benefits: Ad in Chamber Referral Directory, 6 Seats at Annual Banquet Dinner, 1 (4) Person Team at Golf Tournament, 3 Passes to all Networking Events and 3 Passes to all Eggs and Issues Breakfasts, and a $500.00 Level of Peach Days Sponsorship. All Chamber Partners also receive: Framed Business Logo Displayed in Chamber Office Special Recognition during Annual Banquet Special Recognition in front of Referral Directory Platinum Partner Membership Investment: $3,500.00 Platinum Partner Membership Investment becomes a Chamber partner and receives all membership benefits plus the following advertising benefits: Ad in Chamber Referral Directory, Table (Seats 8) at Annual Banquet Dinner, 2 (4) Person Teams at Golf Tournament, 4 Passes to all Networking Events and 4 Passes to all Eggs and Issues Breakfasts, and a $1000.00 Level of Peach Days Sponsorship. All Chamber Partners also receive: Framed Business Logo Displayed in Chamber Office Special Recognition during Annual Banquet Special Recognition in front of Referral Directory Associate Membership Investment: $50.00 Payment Option: Charge my credit or debit card I have read and accept the privacy policy of Box Elder Chamber of Commerce. I grant Box Elder Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application Spread the love
