Become a Member


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Join Us

For a printable version of this application, click here to download the pdf.

Member Information
Organization
Address Line 1
Address Line 2
City
State
Zip
Area Code/ Phone
Fax
Email
Web site
Billing Address (if different)
Address Line 1
Address Line 2
City
State
Zip

Key Contact
Name
Title

Additional Contacts
Name 1
Name 2

Yearly Investments
Number of Employees
Full Time
Part Time
Investment Amount (see Investment Information to calculate your Investment)
Acknowledgment: In consideration of the work of the Superior/Douglas County Chamber of Commerce, I/We agree to invest for the balanced growth of our area according to the Board of Directors approved business plan and agree to the above Investment Fees.
Signature
Date

Directory Information
The information contained in the following section will be used in the Chamber Membership Directory and on the Chamber Website
Category 1
Category 2
Category 3
25 Word Description

Event & Committee Involvement
I am interested in learning more and/or participating in the following events & committees:
	Ambassadors
	Education Committee
	Government & Community Affairs Committee
	Marketing Committee
	Membership Committee
	Play Day Committee
	Superior Leads
	Superior Taste Committee
	Youth Leadership

Website Opportunities
Great Banner Ad Website Opportunities!
Want more information	Yes, notify me with more information.