Member

Please accept this invitation to invest in the future of your business. We hope that you will consider the many benefits offered to you with a partnership in the Safety Harbor Chamber of Commerce. Your yearly Business Partner investment is payable in advance, and that membership automatically renews each year unless cancelled by either party. No refunds. Please note that membership does not guarantee acceptance as a vendor at 3rd Friday, which is based on availability.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category:

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

What is your reason for investing in Safety Harbor Chamber of Commerce?: *

Would you be interested in joining a Committee?: *

Would you like more information about a Minority Business Accelerator that is currently being developed in Pinellas County?: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Membership 1 - 10 Employees: $310.00
Includes one-time $35 application fee Membership 11 - 25 Employees: $430.00
Includes one-time $35 application fee Membership 26 or more Employees: $585.00
includes one-time $35 application fee Membership Downtown SH CRD Retail/Rest: $210.00
Retail & Restaurant businesses within the boundaries of the Safety Harbor CRD Includes one-time $35 application fee Civic Club/Non-Profit: $210.00
A 501(c)3 organization Includes one-time $35 application fee Community Volunteer: $220.00
Includes one-time $35 application fee

Payment Option:

Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address