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Member Application

Thank you for your interest in membership with the Springfield Area Chamber of Commerce. Please fill in and submit the form below to select the partnership level you desire. You may contact our offices directly with any questions at 541.746.1651. We look forward to serving you!

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website

Email

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 2:

Additional Info

Minority Owned

Veteran Owned

Woman Owned

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone

Cell Phone

Email *

Please add a valid email.

Contact Preference

Email

Phone

Create Account

This Login is already in use

Login *

Please add your login username.

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Phone

Cell Phone

Email

Contact Preference

Email

Phone

Create Account

This Login is already in use

Login

Password

Step 5:

Membership Package

Please select a Membership Package

Community Builder Partnership $ 6,000

This partnership clearly cements the role you play to keep our community strong.

Growth Partnership $ 3,100

This partnership will illustrate your level of engagement and dedication.

Business Builder Partnership $ 1,600

This partnership displays a deep commitment to the mission.

Pacesetter Partnership $ 770

This partnership strengthens your capacity to prosper and grow.

Classic Business Membership $ 440

Whether you are a start-up or a seasoned business, this is a great value for members.

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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Get In Touch!

Call us: 541-746-1651

Fax: 541-726-4727

Visit Springfield Chamber of Commerce
101 South A Street, PO Box 155 Springfield, OR 97477

Email us: info@springfield-chamber.org

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