Member - The Safety Harbor Chamber of Commerce

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 membership in the Safety Harbor Chamber of Commerce. Your yearly Chamber Membership investment is payable in advance, and that membership automatically renews each year unless cancelled by either party.

Business Information

Company Name: *

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 do you hope to gain from your Chamber membership?: *

What is your preferred method of contact?: *

When is your preferred time of day to network?: *

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

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter

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

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Civic Club/Non-Profit: $210.00
A 501(c)3 organization Includes one-time $35 application fee Membership 1 - 10 Employees: $285.00
Includes one-time $35 application fee Membership 11 - 25 Employees: $385.00
Includes one-time $35 application fee Membership 26 or more Employees: $485.00
Includes one-time $35 application fee Retired Individual: $210.00
Includes one-time $35 application fee

Payment Option:

Bill me Charge my credit or debit card

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 3 plus 10?: *

Print Application

Member Application

Mailing Address

Address

Address