Member - Superior Chamber & Visitors Bureau, WI

Invest in the future of your business...JOIN the Superior-Douglas County Area Chamber of Commerce! Please complete the form below to tell us more information about you and your company. If you have questions about Chamber membership please contact Taylor Pedersen at taylor.pedersen@superiorchamber.org or give him a call at 715-394-7716.

Business Information

Company Name: *

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Phone: *

Website: *

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Year Business Opened: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter YouTube Pinterest Instagram GooglePlus

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password:

Social Networking:

LinkedIn Facebook Twitter YouTube Pinterest Instagram GooglePlus

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password:

Social Networking:

LinkedIn Facebook Twitter YouTube Pinterest Instagram GooglePlus

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Starter Kit Investor: See fee schedule to determine the fee and enter it below.
Industry Investor : $2,900.00
Community Investor : $1,950.00
Advocate Investor: $1,400.00
Business Investor : $850.00
Entrepreneur Investor: $550.00
If using fee schedule, enter fee here:

Payment Option:

Charge my credit or debit card

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