Chamber Membership Application Primary Contact This section is for the individual member's contact information. There is a section below for the business or organization general contact information. First Name * Last Name * Title Real Estate Agent/Broker for Chamber Member Company Yes * * *ADDING A NEW OR CHANGING THE EXISTING EMAIL ADDRESS IN THE FIELD BELOW WILL CHANGE YOUR LOGIN EMAIL ADDRESS. * * * Email Address * Put your contact email address here, NOT the organization's email address. The password field below is for new members registering online for the first time. * * * Existing Members: Use the Lost your password function at login. The system will email you a password reset. * * * Password (This password field is for new members registering online for the first time. If you are already a member of the website, please use the "Lost Password?" link on the login page to change your password. Daytime Phone PLEASE ENTER PHONE NUMBER LIKE THIS EXAMPLE: 888-123-4567 Mobile Phone PLEASE ENTER PHONE NUMBER LIKE THIS EXAMPLE: 888-123-4567 Company Info Business Name or Organization Name * Enter your organization name as you would like for it to appear in the online member directory. Number of Full-Time Employees Number of Part-Time Employees (2 PART-TIME EMPLOYEES EQUAL ONE FULL-TIME EMPLOYEE) Business Logo Drop a file here or click to upload Choose File Maximum upload size: 134.22MB Business Category * Advertising, Marketing & Media Arts & Crafts Arts, Culture & Entertainment Assisted Living Automotive & Marine Banks and Credit Unions Beauty Salons/Spas Business & Professional Services Chiropractors Cleaning Services Community Services Computers & Telecommunications Construction Construction Equipment & Contractors Consumer & Home Services Consulting Country Clubs Electrical Entertainment Equestrian Family, Community & Civic Organizations Finance, Accounting & Insurance Financial & Investment Services Government, Education & Individuals Health & Beauty Healthcare Holistic Health Home & Garden Insurance Landscaping Legal Lodging & Travel Manufacturing, Production & Wholesale Medical & Dental Non-Profit Personal Services & Care Pets & Veterinary Real Estate, Moving & Storage Religious Organizations Restaurants, Food & Beverage Security Services Shopping & Specialty Retail Sports & Recreation Technologies Transportation & Logistics Utilities & Environmental Websites & Social Media Marketing Wineries (Hold down command or control to select more than one option. SELECT ONLY 3 TOTAL CATEGORIES) Business Description Keywords (Word that describe your business niche, separated by a comma) Business Location Location Street Address * (PLEASE DO NOT USE A PO BOX IF YOU PROVIDE PRODUCTS OR SERVICES AT YOUR BUSINESS LOCATION ADDRESS; YOUR MAILING ADDRESS SHOULD BE ENTERED IN THE BILLING ADDRESS SECTION. Location City * Location State * Two letter abbreviation Location Zip Referred by: Business Phone * PLEASE ENTER PHONE NUMBER LIKE THIS EXAMPLE: 888-123-4567 Business Fax (if applicable) PLEASE ENTER PHONE NUMBER LIKE THIS EXAMPLE: 888-123-4567 Business Main Email Address (Example: email@example.com) Business Website URL Example: http://www.mywebsiteaddress.com MUST INCLUDE http:// Business Hours Days & Times Example: Mon.-Thurs. 9 am-5pm; Fri. 10 am- 6 pm; Saturday 10 am- 2pm; Closed Sunday Social Media (CLICK THE TITLE ABOVE TO OPEN THIS SECTION) LinkedIn URL Google+ URL Facebook URL Twitter URL Business Mailing / Business Address Billing Email * My Business Mailing / Billing Address is: Same as Location Address Billing Address Billing City Billing State Two letter abbreviation Billing Zip Billing Contact Name Billing Phone PLEASE ENTER PHONE NUMBER LIKE THIS EXAMPLE: 888-123-4567 Membership Level & Fees MEMBERSHIP LEVELS 1-5 Employees $150 Non-Profit Organization $150 Friend Member (Individual) $150 6-20 Employees $250 21-150 Employees $350 Over 150 Employees $400 Bank or Utility $500 Real Estate Broker of current member Agency $100 Associate 50% of Primary Business Membership Note: Owners of more than one business pay 50% for each additional (associate) membership. Real estate brokers working for a current member real estate agency pay $100/year for a separate business listing. Membership Level General Business with 1-5 Employees Non-Profit Business Associate of a Member Business Friend General Business with 6-20 Employees General Business with 21-150 Employees General Business with over 150 Employees Bank or Utility Realtor of a Member Agency Realtor AGENCY Dues depending on number of employees. I would rather be a Sponsor Yes Associated Membership Business Name For 1/2 price Associated membership, what is the name of the Business that pays full price? SPONSORSHIP LEVELS Gold Medal Sponsorship $5,000 Advisory Board Website Video Message Quarterly Power Lunch Logo on Chamber Website, Office wall, Media Center Mention on all Press Releases Silver Medal Sponsorship $2,500 Website Video Message Quarterly Power Lunch Logo on Chamber Website, Office wall Mention on all Press Releases Bronze Medal Sponsorship $1,500 Website Video Message Quarterly Power Lunch Logo on Chamber Website Mention on all Press Releases Patron Sponsorship $1,000 Logo at Chamber Website Event Hosts for Members after Hours Fridays Mention on all Press Releases Ambassador $ 500 Ambassador name on Chamber Website Event Hosts for Ribbon Cutting Hall of Fame Presentations Sponsorship Level Gold Sponsorship Level Silver Sponsorship Level Bronze Sponsorship Level Patron Sponsorship Level Ambassador Sponsorship Level Total Dues Please send me an invoice Yes If you need an invoice, we will email you an invoice. Pay Member Dues by Check (Click Title to Open) I prefer to pay my Chamber Member Dues by check. Yes Make Checks Payable to Carolina Foothills Chamber of Commerce and mail it to: Carolina Foothills Chamber of Commerce 2753 Lynn Road Suite A Tryon NC 28782 Clicking the "Submit" button below will submit your membership application and will automatically take you to Paypal. If you plan to pay by Check, click the "Submit" button below and simply close your web browser once you get to PayPal. Pay Member Dues by Credit, Debit, or PayPal (Click Title to Open) I prefer to pay my Member Dues by Credit, Debit, or PayPal. Yes PAYMENT OPTIONS: USE YOUR EXISTING PAYPAL ACCOUNT - Click the "Submit" button below, then enter your existing PayPal account username and password and click the "Log In" button or PAY WITH A MAJOR DEBIT / CREDIT CARD - click the "Submit" button below, then click the "Pay with Debit or Credit Card" button at the bottom of the form. Membership Admin Only Send new member instructions email No Yes Send updated record email No Yes Captcha If you are human, leave this field blank.