Member - publiclayout-application - Waxahachie Chamber of Commerce, TX

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Member Application

The goal of the Waxahachie Chamber of Commerce is to promote the commercial, industrial, civic, cultural, and general interests of our city and region. Every individual, firm, and professional derives direct benefits in a growing, stable economy. We welcome your membership and look forward to working to advocate on your behalf.

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

Phone *
Please add your company phone number.

Website

Email *
Please add a valid email.

Physical Address

Address line 1 *
Please add your address.

Address line 2

City *
Please add your City.

State *
Please add your MN.

Postal Code *
Please add your Postal Code.

Country *
Please add your country.

Mailing Address

Same as physical address

Address line 1 *
Please add your address.

Address line 2

City *
Please add your City.

State *
Please add your MN.

Postal Code *
Please add your Postal Code.

Country *
Please add your country.

Step 2:

Additional Info

Business Description (200 char max) *
Please add your company description.

Business Keywords * (enter a space between words)
Please add your business keywords.

Directory Category *
Please select a directory category.

Full-time Employees *
Please add your number of full-time employees.

Part-time Employees *
Please add your number of part-time employees.

Number of Employees *
Looks good!

Owner Ethnicity *
Looks good!

Gender of Owner *
Looks good!

Age Range of Owner *
Looks good!

How did you find us? *
Looks good!

If you were referred, please leave us the FULL NAME of the person who referred you (or write N/A) *
Looks good!

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title *
Please add your title.

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1 *
Please add your address.

Address line 2

City *
Please add your City.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Country *
Please add your country.

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title *
Please add your title.

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1 *
Please add your address.

Address line 2

City *
Please add your City.

State *
Please add your MN.

Postal Code *
Please add your Postal Code.

Country *
Please add your country.

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Individual/Non-Business - Annual $ 150

Networking Package - Annual $ 300

Marketing Package - Annual $ 550

Community Leader - Annual $ 1,100

President's Council - Annual $ 3,000

Comments/Questions

Payment Option

Charge my credit or debit card

Please complete the Captcha

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Pages

Members

Categories

Quicklinks

Events

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Social Network Addresses

Create Account

Step 4:

Billing Contact

Address

Social Network Addresses

Create Account

Step 5:

Membership Package

Payment Option