Member Application Thank you for your interest in membership with the Oregon Area Chamber of Commerce! We're glad to have you on board! Please complete the information below. Business Information Company Name: * Leave Blank: Phone: * Website: Email: Business Description (1000 char max): Directory Category: --- Select Primary Category --- Accountants Acupuncture Appliances Architects Arts & Culture Assisted Living Attorneys Automotive Banks & Credit Unions Beauty/Salons/Spas Bicycle Shop Cellular Telephones Chambers of Commerce Childcare Chiropractors Churches Clothing/Shoes Community Organizations Computer Services Consulting Contractors Correctional Counseling Dance Dental Disc Jockey Education Electric Engineering Consultants Event Planning Farm/Agriculture Financial & Investment Services Fitness Florists Food Specialties Funeral & Cremation Services Gasoline Gifts & Specialty Items Golf Graphic Design Greenhouses Grocery Stores Hardware Holistic Health Home Based Businesses Home Interiors Horses Hospitals & Clinics Hotels/Motels Insurance Interior Design Jewelry Landscaping Laundromat Legal Services Libraries Liquor Store Mail Services/Shipping Manufacturing & Production Maps Market Research Marketing Martial Arts Massage Therapy Media Medical Clinics Municipal Music Nurseries Office Furniture & Supplies Optical Services Payroll Pest Management Pet Grooming Pet Training Pharmacies Photographers Plumbing Printing Promotional Items Property Leasing & Management Real Estate Services Recreation and Attractions Religious Services Restaurants Security & Safety Senior Services Signage Snow Removal Tax Preparation Telecommunications Theater Towing Service Travel Agencies Utilities Veterinarians Waste Management Web Design Welcome Wellness Windows Wine/Liquor Employees: Full-time Part-time Business Keywords (enter a space between words): Comments / Questions: 2019 Sponsorship Level: Signature Sponsor (1 Event) Copper Sponsor (2 Event) Bronze Sponsor (3 Events) Silver Sponsor (4 Events) Gold Sponsor (5 Events) Platinum Sponsor (6 Events) Elite Sponsor (10 Events) 15 employee volunteer hours = Sponsorship of 1 event Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: Line 2: City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Primary Contact Information First Name: * Last Name: * Phone: * Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Billing Contact Information Same as Primary Contact First Name: * Last Name: * Phone: * Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Canada United States Membership Options Membership Package: * Associate: $125.00 Non-business individuals wishing to participate as a Chamber Member Independent Direct Product Sales: $125.00 Independent retail rep - i.e. Mary Kay, Tupperware Agriculture/Farm: $175.00 Religious Organization: $175.00 Non-Profit Organizations: $175.00 Small Business: $250.00 1-5 Full-time employees or equivalent Medium Business: $375.00 6-10 Full-time employees or equivalent Large Business: $460.00 11-39 Full-time employees or equivalent Major Business: $675.00 40+ Full-time employees or equivalent Financial Institutions: $675.00 Government and Municipalities: $675.00 Utility Companies: $675.00 Additional Opportunities: We will contact you with additional information. Community Guide Ad - 1/16 Page : $200.00 1.75" x 2.375" Community Guide Ad - 1/8 Page : $250.00 3.625" x 2.375" Community Guide Ad - 1/4 Page : $375.00 3.625" x 4.875" Community Guide Ad - 1/2 Page : $700.00 7.5" x 4.875" Community Guide Ad - Full Page : $1,250.00 7.5"x 10" Community Guide Ad - Prime Location : $250.00 F/P inside front cover, page 3, back page inside & out. Graphic Design Charge : $75.00 Includes two proofs Payment Option: Bill me Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Oregon Area Chamber of Commerce. I grant Oregon Area Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application
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