Member - Germantown Area Chamber of Commerce , WI

Member Application

To become a member of the Germantown Area Chamber of Commerce, please complete the application and remit payment. You will be considered a prospective member until payment is received.

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

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.

State *
Please add your State.

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

State *
Please add your State.

State

Postal Code

Step 2:

Additional Info

Business Description (300 char max) *
Please add your company description.

Business Keywords (enter a space between words)

Directory Category *
Please select a directory category.

Full-time Employees *
Please add your number of full-time employees.

Part-time Employees *
Please add your number of part-time employees.

Referred by?

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Phone *
Please add your phone number.

Email *
Please add a valid email.

Contact Preference

Email

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.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Create Account

This Login is already in use

Login *
Please add your login username.

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.

Phone *
Please add your phone number.

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact 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.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Regular Membership Level 1 $ 350
For businesses with 15 full-time equivalent employees or less

Regular Membership Level 2 $ 675
For businesses with more than 15 full-time equivalent employees

Regular Membership Level 3 $ 140
Charitable non-profits, civic groups, and individuals joining the chamber

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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Mailing Address
PO Box 12
Germantown, WI 53022
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