|
Membership Application
Thank you for your interest in joining the chamber. Please fill out the following form as completely as possible. If you have more than 500 employees, please contact the chamber at (207) 623-4559 for information and investment. Membership dues may be tax deductible as an ordinary and necessary business expense, but are not a charitable deduction for federal tax purposes.
Membership Renewal
If you are renewing your membership, please just fill out the required fields (*) and any information that has changed. |
|
| Company(*) |
Invalid Input |
|
| Contact Person(*) |
Invalid Input |
|
| Address(*) |
Invalid Input |
|
| Phone(*) |
Invalid Input |
|
| Cell |
Invalid Input |
|
| Email(*) |
Invalid Input |
|
| Website |
Invalid Input |
|
| Facebook |
Invalid Input |
|
| Brief Description |
Invalid Input |
|
| Number of Employees |
Invalid Input |
|
|
What Interests You? |
|
| Interests |
Invalid Input |
|
|
Investment Schedule
Effective as of January 2019
Please make the appropriate selection below. A 2 year membership will save you 15%. |
|
| Investment Schedule |
Invalid Input |
|
| Total Investment |
0.00 USD |
|
|
Credit Card Information
Please enter your credit card information below. |
|
| First Name |
Invalid Input |
|
| Last Name |
Invalid Input |
|
| Company Name |
Invalid Input |
|
| Address |
Invalid Input |
|
| City |
Invalid Input |
|
| State |
Invalid Input |
|
| Zip Code |
Invalid Input |
|
| Phone |
Invalid Input |
|
| Credit Card # |
Invalid Input |
|
| CVV Number |
Invalid Input |
|
| Exp Month |
Invalid Input |
|
| Exp Year |
Invalid Input |
|
|
|
|
|
|
|
| Please check the box to verify you are human.(*) |
Invalid Input |
|
|
|
|
