Join the Chamber

 

Membership Application

We are delighted that you are interested in joining the Chesapeake Gateway Chamber of Commerce.  Being an active member is the best way to obtain the most value from your investment.  We welcome your ideas and your support.  Upon receiving your application and payment, we will send you a new member packet.  Please print information on application.

Company Representative

Prefix:  _______  First Name:  ______________________  Last Name:  _________________________  Suffix:  _______

Title: ____________________________________________________________________________________

Company Name:  _______________________________________________________________ Years in Business: _____

Address (physical):  __________________________________________________________________________

City:  __________________________________          State:  _______________          Zip+4:  _______________

Phone:  ________________________________          Fax:  ___________________________

Email:  ______________________________________  Website:  _____________________________________

Business (Yellow Page) Classification:  ___________________________________________________________

Description of your business:  _________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Hours of operation:  _________________________________________________________________________

Check all that apply:

_____ Home-based                       _____ Small Disadvantaged        _____ Disability-owned

_____ Branch                                    _____ Minority-owned                _____Green Certified

_____ Headquarters                      _____ Woman-owned                  _____ Enterprise Zone

_____ 8(a)                                          _____ Veteran-owned                 _____ Other __________________________

 

Do we have permission to use the information listed above in Chesapeake Gateway Chamber and affiliated publications, website and social media pages? _____ Yes  _____ No

 

By  joining the Chesapeake Gateway Chamber, you are authorizing the Chamber to communicate with you via email regarding events, membership dues and other transactions to facilitate your membership benefits.

 

Preferred Method(s) of Communication:

Email _____      Chamber Website _____     Social Media ______     Mail ________     Phone ________     Fax __________

 

Reasons for joining:

_____ Networking          _____ Advocacy          _____ Training/Skill Building          _____ Publicity & Exposure

_____ Community/School Support          _____ Other (please explain) _________________________________

 

How did you hear about us?  _____ Website     _____ Social Media     _____ Attended Event

_____ Current Member (enter name here) ______________________________________________

_____ Other _______________________________________________________________________

 

One of the best ways to get the most from your membership is by joining a committee.

Please indicate your area(s) of interest:

_____ Membership          _____ Programs          _____ Legislative Affairs           _____ Public Relations & Marketing

 

Membership Investment:

Dues cover one year from the date your application and payment are received.

 

_____ Individual (no company affiliation) – $75                  _____ 51-100 Employees – $450

_____ Sole Proprietor – $175                                                      _____ 101-250 Employees – $600

_____  2-5  Employees – $225                                                     _____ 250-500 Employees – $750

_____ 6-15 Employees – $250                                                     _____ 500+ Employees – $900

_____ 16-30 Employees – $275                                                  _____ Non-Profit Organizations – $150

_____31-50 Employees – $300

Please consider participating in our sponsorship program, which provides additional opportunities for visibility and support for the community and the Chamber.  _______ Contact me about these opportunities.

 

Billing Contact (if different from above):  _______________________________________________________________

Billing/Mailing Address (if different from above):  ________________________________________________________

City:  __________________________________          State:  ______________             _             Zip+4:  _______________

Amount enclosed:  __________           Method of Payment:  _____ Check enclosed        _____ Bill my company

Charge to my:  _____ Visa           _____ MasterCard          _____ Discover                _____ American Express

Account #:  ___________________________________________ Expiration Date:  _______ Security Code:   ________

Name as it appears on card:  __________________________________________________________________

Address where credit card statement is received:  _________________________________________________

__________________________________________________________________________________________

Signature:  _______________________________________________      Date:  __________________________

 

Baltimore Crossroads @95

405 Williams Court, Suite 108, Baltimore, MD  21220

Phone:  443.317.8763     Fax:  443.317.8772

Email:  info@chesapeakechamber.org   Website:  www.chesapeakechamber.org