Membership Application

 
   
Organization Information (to be displayed online)
Organization Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Fax
Website
Email *
Main Contact
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title *
Phone *
Email *
Additional Contacts
Billing Address (if different)
Street
City
State
Zip
Mailing Address (if different)
Street
City
State
Zip
Additional Information






Please provide a complimentary business description that will appear in our online business directory.
What are your reasons for joining the Vermont Chamber of Commerce?
(You may select more than one.)
Marketing to visitors nationally & internationally through Vermont Chamber publications and websites
Networking at events (i.e. Vermont Business & Industry EXPO, Vermont Hospitality Gala, Citizen of the Year Award Banquet, etc.)
Enhancing visibility through sponsorship & promotional opportunities
Expanding supply chain opportunities with manufacturers in Vermont and beyond
Making connections in international markets
Growing Vermont's environmental businesses
Being represented in the legislative and regulatory arenas & having access to the Vermont Chamber's lobbying team
Accessing statewide membership for: referrals and affinity programs (M2M Savings Program, Webinar Series, other) to expand your business
Investing in the Vermont Chamber's mission to create an economic climate conducive to business growth while preserving the Vermont quality of life
Membership Investment
Membership Type: *
Primary Directory Category *
Additional Directory Categories
  • Primary Directory listing is complimentary
  • Up to two additional Directory listings are complimentary
  • After two, additional Directory listings are $35 each
**Hold CTRL on your keyboard to select multiple categories**
Number of Full Time Employees:  
Number of Part Time Employees:  
Number of Rooms:  
Number of Rooms (with Public Dining):  
Number of Seats:  
   
$ 
$ 
$ 
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
tempValueForDropDown1
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Membership ($50):
*
Credit Card Information
Credit Card Type *
Credit Card Number * 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
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