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Thank you for your interest! Please complete the following member information.

Member Application

Thank you for your interest in the Shorewood Area Chamber of Commerce. Please fill out the form and submit.

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 *
Please add your company 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 (260 char max) *
Please add your company description.

Business Keywords (enter a space between words)

Directory Category

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 *
Please add your title.

Phone *
Please add your phone number.

Cell Phone

Fax *
Please add your fax number.

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

Country

City

State

State *
Please add your State.

State

Postal Code

Social Network Addresses

LinkedIn

Facebook

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.

Title *
Please add your title.

Phone *
Please add your phone number.

Cell Phone

Fax *
Please add your fax number.

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1

Address line 2

Country

City

State

State *
Please add your State.

State

Postal Code

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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