Member - Gilbert Chamber

Thank you for your interest in the Gilbert Chamber of Commerce! Please complete the following application form. If you have any questions or need more information please contact Annette Sellers by e-mail to annette@gilbertchamber.com or by calling (480) 892-0056.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Area of Interest:

Women-Owned:

Minority-Owned :

Veteran-Owned:

Non-profit:

Home-based:

Locally Owned:

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 YouTube Google Plus Yelp

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Password: *

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:

Email:

Contact Preference:

Email Phone

Password:

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Entrepreneur Level: $325.00
This level is suggested for start-up and home-based businesses only. Business Level: $500.00
Corporate Level: $820.00
Premier Level: $4,500.00
Multi-Business: $200.00
Current businesses holding a membership at or above the Business Level are eligible to add additional businesses at this discounted price.

Additional Fees:

Set-Up Fee : $30.00
One-time administrative processing charge.

Payment Option:

Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address