Member Program Application | Vandalia, OH

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Step 1:

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Member Info

Company Name *

Phone *

Website *

Email *

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Physical Address

Address line 1 *

Address line 2

Country *

City *

State *

Postal Code

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Mailing Address

New Field:

Same as physical address

Address line 1 *

Address line 2

Country *

City *

State *

Postal Code *

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Social Network Addresses

Facebook

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Step 2:

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Additional Info

Business Description (500 char max) *

Business Keywords * (enter a space between words)

Directory Category

Full-time Employees *

Part-time Employees *

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Step 3:

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Primary Contact

First Name *

Last Name *

Title

Phone *

Cell Phone

Fax

Email *

Contact Preference

Email

Phone

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Address

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Same as Address in Step 1

Address line 1 *

Address line 2

Country *

City

State

Postal Code

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Social Network Addresses

Facebook

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Create Account

Login *

password *

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Step 4:

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Billing Contact

Billing Contact

Same as Primary Contact

First Name *

Last Name *

Title

Phone *

Cell Phone

Fax

Email *

Contact Preference

Email

Phone

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Address

Address

Same as Primary Contact Address

Address line 1 *

Address line 2

Country *

City *

State *

Postal Code *

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Social Network Addresses

Facebook

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Create Account

Login *

Password *

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Step 5:

Membership Package

1-5 Employees ($199)

6-15 Employees ($249)

16-35 Employees ($285)

36-100 Employees ($385)

101+ Employees ($590)

Non-Profit 501c3 ($100)

Additional Fees:

One-Time Application Fee ($25 one time)

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Additional one time application fee for new members

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

VANDALIA-BUTLER

CHAMBER OF COMMERCE

Established in 1947

VANDALIA-BUTLER

CHAMBER OF COMMERCE

Established in 1947

Contact Us

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