Member - #MICRONET_HEADING# - Greater East Montgomery County Chamber

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

Business Description (200 char max)

Business Keywords (enter a space between words)

Full-time Employees

Part-time Employees

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

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

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.

Facebook

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as 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

Fax

Email *

Please add a valid email.

Contact Preference

Phone

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.

Social Network Addresses

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Platinum Membership $ 1,200

All the benefits of Gold plus - 1 Additional Complimentary Admissions Per Luncheon (2 Total) - 6 Additional eBlasts - Video Coverage of Ribbon Cutting - Verbal recognition at luncheons - Excel Member Labels 2 times per year - Two Tickets to the Chamber Annual Casino Night

Gold Membership $ 600

All the benefits of Silver plus - 1 Complimentary Admission Per Luncheon - 6 Additional eBlasts - Video Coverage of Ribbon Cutting - Use of Chamber Meeting Room upon availability - Logo on Website Online Directory - Visual recognition at luncheons

Silver Membership $ 300

Membership Directory Listing Online - 2 Free eBlasts - Access to Members’ Only Website Control Panel - Ribbon Cutting (Location within 10 miles) - Member Plaque for display at business - Certificate of Origin (Embossed Form)

Non-Profit Membership $ 200

501c3 non-profit status organizations

Associate Membership $ 150

For Agents under a brokerage type business located at the same physical address. Brokerage must be a member first at Silver level or above.

Individual Membership $ 100

For individuals not associated with or promoting a business

Elected Official Membership $ 100

Comments/Questions

Payment Option

Charge my credit or debit card

Please complete the Captcha

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Social Network Addresses

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Membership Package

Payment Option