Member

To sign up for membership, please review the detailed benefit descriptions before filling out the application below. * Descriptions of the benefits for each tier of membership can be found by clicking Detailed Membership Benefits from the Membership menu above. *Determine the level you want & fill out the application below. *Membership is activated upon receipt of payment. *Please be sure you have popups enabled if you are making payment via credit card. If you have any issues entering payment, please call 208.888.2817 and we'll process it for you. *Dues cover a full twelve month period and are automatically invoiced on your anniversary date.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website: *

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

How did you hear about the Meridian Chamber:

Is your business home-based?:

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

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

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: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Supporting : $275.00
Please review the membership benefits to select the level that best fits your desire for involvement. (Members with 100 or fewer employees may join at these levels) Associate: $450.00
Please review the membership benefits to select the level that best fits your desire for involvement. (Members with 100 or fewer employees may join at these levels) Business: $675.00
Please review the membership benefits to select the level that best fits your desire for involvement. (Members with 100 or fewer employees may join at these levels) Silver: $1,000.00
Please review the membership benefits to select the level that best fits your desire for involvement. (Members with any number of employees may join at these levels) Gold: $2,250.00
Please review the membership benefits to select the level that best fits your desire for involvement. (Members with any number of employees may join at these levels) Platinum: $3,750.00
Please review the membership benefits to select the level that best fits your desire for involvement. (Members with any number of employees may join at these levels)

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address