Member - Harbor Springs Area Chamber of Commerce , MI

Member Application

Thank you for your interest in joining the Harbor Springs Area Chamber of Commerce (HSACC). Please complete the following member information.
Business Information

Company Name: *

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Phone:

Website:

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

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:

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Primary Contact Information

First Name: *

Last Name: *

Title:

Cell Phone:

Fax:

Email: *

Login: *

Password: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Cell Phone:

Fax:

Email: *

Login: *

Password: *

Membership Options

Membership Package: *

Full Member: See fee schedule to determine the fee and enter it below.
Dual Member: $150.00
Affiliate Membership: $175.00
Branch or subsidiary business to a Full Member. $175.00 ($50.00 additional for business listing in Directory) If using fee schedule, enter fee here:

Additional Fees:

Membership Admin Fee : $25.00
admin fee

Payment Option:

Bill me Charge my credit or debit card

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