Member Application
Business Information
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Business Description (200 char max):
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ACCOUNTANTS
ACCUPUNCTURE
ADVERTISING
AGRICULTURAL SERVICES
AIRPORTS
AMBULANCE SERVICE
ANTIQUES
APARTMENTS
APPLIANCES
ARCHITECTS/PLANNERS
ART GALLERY
ARTISTS/ART GALLERIES/SUPPLIES
ASSISTED LIVING COMMUNITIES
ATTORNEYS: Legal Services
AUCTION FACILITY/AUCTIONEERS
AUTOMOBILE ACCESSORIES
AUTOMOBILE DEALERS
AUTOMOBILE PARTS-MFG REP
AUTOMOBILE REPAIRS & SERVICE
Automotive/Marine Wholesale
Backflow Testing/Inspections
BAKERY
BANKS & BANKING ASSOCIATIONS
BANQUET FACILITIES
BED AND BREAKFAST INNS
BINGO PARLORS & SUPPLIERS
BLOOD BANKS & CENTERS
BOAT DEALERS
BOOK DEALERS, STORES & DEPOSITORIES
BOUTIQUES & SPECIALTY SHOPS
BOWLING CENTERS
BUILDING MATERIALS
BUSINESS & MANAGEMENT CONSULTANTS
BUSINESS OWNERS
CAMPS
CAREER PLANNING SERVICES
CASINO
CATERERS
CEMETARIES
CHAMBERS OF COMMERCE
CHILD DEVELOPMENT & DAY CARE
CHIROPRACTIC PHYSICIANS
CHURCHES
CLEANING SERVICES/SUPPLIES: Cleaning Systems
CLOCKS & CLOCK REPAIR
CLOTHING-MEN
CLOTHING-SPECIALTY
CLOTHING-WOMEN
COFFEES & TEAS
COLLECTION AGENCY
COMMUNICATIONS-TELECOMMUNICATION CONSULTANTS
COMPUTER: Education
COMPUTER: Consulting/Software Development
COMPUTER: Sales, Service, & Products
COMPUTER: Systems Management
CONSTRUCTION
CONSTRUCTION: Repair & Remodeling
CONSULTANT
CONSULTANT/DISABILITY
CONTRACTORS
COPIERS
COUNSELING
COUNTRY CLUB
CREDIT CARD SERVICES
CREDIT UNIONS
DENTISTS
DERMATOLOGISTS
DIALYSIS SERVICES
DISTRIBUTORS
DRUG ABUSE & ADDICTION-INFORMATION & TREATMENT
DRUG TESTING
EDUCATION
EDUCATION & TEACHING SUPPLIES
ELECTRIC SUPPLIER, ALTERNATIVE RETAIL
ELECTRICAL EQUIPMENT & SUPPLIES
EMBROIDERY
EMERGENCY MEDICAL SERVICES
EMPLOYEE BENEFITS
EMPLOYMENT AGENCIES/SCREENING SERVICES
ENGINEERING DESIGN FIRM
ENGINEERS-ELECTRONIC/CIVIL/ENVIRONMENTAL/MECH
ENTERTAINMENT
ENVIRONMENTAL CONSULTANTS
EVENT PLANNING
FAMILY RECREATION
FARM SUPPLIES
FINANCE & FINANCIAL ADVISORS
FINGERPRINTING
FIRE EDUCATION
FIRE PROOFING
Fire Sprinklers
Fire, Water & Electronic Restoration
FLOORING/FLOORING SUPPLIES
FLORISTS
FOOD PRODUCTS, SERVICES, SUPPLIES & BROKERS
FOOD TRUCKS
FRUITS/VEGETABLES
FUNERAL HOMES & MEMORIAL PARKS
FURNITURE
GARDEN CENTERS
GAS STATION
GLASS
GOLF COURSES/EQUIPMENT
GOVERNMENT
GRAPHIC ARTS & DESIGN
GROCERY STORES
Grooming
HAIR SALON
HARDWARE
HEALTH CARE MANAGEMENT/CONSULTING
HEALTH CARE NETWORK
HEALTH MAINTENANCE ORGANIZATIONS
HEALTH SPA
HEATING & AIR CONDITIONING
HOME HEALTH SERVICES
HORTICULTURE CONSULTANTS
HOSPICE
HOSPITALS
HOTELS/MOTELS
ICE CREAM PARLOR
ICE/FILTERED WATER
IDENTITY PROTECTION
INDUSTRIAL SUPPLIES
INFORMATION SERVICES
INSURANCE
INTERIOR DECORATING/DESIGN
INTERNET SERVICES
INTERPRETING
INVESTMENT COUNSELORS
JEWELERS
KITCHEN DESIGN
LANDSCAPING
LAWN & GARDEN EQUIPMENT/MAINTENANCE
Liquor - Retail
LIQUOR-WHOLESALE
LOCKSMITHS
MACHINE SHOP
MAILING SERVICES & MAILING LISTS
MANUFACTURED HOMES
MANUFACTURERS-MANUFACTURERS REPRESENTATIVES
MARKETING RESEARCH & MARKETING COMPANIES
MASONRY PRODUCTS
MASSAGE THERAPY
MATTRESSES
MEDIA & PUBLIC RELATIONS
MEDIA PRODUCTION COMPANIES
Medical Billing & Software
MEDICAL BILLING SERVICES
MEDICAL COVERAGE CONSULTANTS
MEDICAL EQUIPMENT SALES & RENTAL
MEDICAL LABORATORIES & RESEARCH
MEDICAL: X-ray/MRI
MEDICARE
MENTAL HEALTH SERVICES
MILITARY
MONUMENTS & MARKERS
MORTGAGE : Mortgage Loans & Bankers
MOVING COMPANY
MRI / X-RAY
MUSEUMS
MUSIC
NEWSPAPERS
NURSERY/GARDEN CENTER
NURSING HOME FINANCIAL ASSISTANCE
NURSING HOMES
NUTRITION STORES
Occupational Medicine
OFFICE SUPPLIES, EQUIPMENT & FURNITURE
OIL & GAS INDUSTRY
OPTOMETRISTS
ORGANIZATIONS
ORTHODONTICS
PAINTS-MANUFACTURING, DEALERS & CONTRACTORS
PARTY PLANNING/FACILITIES
PARTY SUPPLIES
PAYROLL SERVICES
PERSONAL DEVELOPMENT
Personal Injury
PEST CONTROL SERVICES
PHARMACY
PHOTOGRAPHERS
PHYSICAL FITNESS
PHYSICAL THERAPISTS
PHYSICIANS & SURGEONS
PICTURE FRAMING
PLUMBING-SERVICE & SUPPLIES
Portable Buildings & Storage
PRINTING COMPANIES
PROMOTIONAL ITEMS
PROMOTIONS
PROPERTY MANAGERS
PUBLIC RELATIONS & ADVERTISING
PUBLISHERS
QUARRIES
RADIO STATIONS
REALTORS/REAL ESTATE: Appraisers
REALTORS/REAL ESTATE: Broker
REALTORS/REAL ESTATE: Commercial/Residential
REALTORS/REAL ESTATE: Development
REALTORS/REAL ESTATE: Investors
RECREATION
RECYCLING
RENTALS-PARTY & EQUIPMENT
RESTAURANT: Brewery
RESTAURANT: Mobile Vending
RESTAURANTS: Chinese
RESTAURANTS: Bar & Grill
RESTAURANTS: Barbeque
RESTAURANTS: Club & Restaurant
RESTAURANTS: Coffee Shop
RESTAURANTS: Deli
RESTAURANTS: Family Style
RESTAURANTS: Fast Food
RESTAURANTS: German
RESTAURANTS: Italian
RESTAURANTS: Mexican
RESTAURANTS: Pizza Delivery
RESTAURANTS: Seafood
RESTAURANTS: Tea Room
RETAIL
RETIREMENT CENTERS
RETREAT FACILITIES
ROOFING
SCHOOLS & COLLEGES/EDUCATION
SCREENPRINTED SPORTSWEAR & DESIGNS
SECURITY-PRODUCTS, SYSTEMS, BURGLAR ALARMS
SENIOR CITIZEN SERVICES
SERVICES FOR PEOPLE WITH DISABILITIES
SIGNS
SMALL BUSINESS SERVICES
SOCIAL SECURITY CLAIMS SERVICES
SOCIAL SERVICE & NON-PROFIT ORGANIZATIONS
SPORTING GOODS, TOYS & MEMORABILIA
SPORTS - Clubs
SPORTS - Recreation
SPORTS - Training
SPORTS - YOUTH
SPORTS MARKETING/MANAGEMENT
STOCKS & BONDS BROKERS
STORAGE & CONTAINERS
Stores
Supplies
SURVEYORS
TANNING
TELECOMMUNICATIONS/CELLULAR SERVICE
TELEPHONE SERVICE & EQUIPMENT
TEMPORARY SERVICES
THEATERS & THEATRICAL COMPANIES
TITLE COMPANIES
TOURISM
TRAINING & DEVELOPMENT
TRANSPORTATION
TRAVEL AGENCIES/INFORMATION
TREE SERVICE & SPRAYING
TRUCK SERVICES/ACCESSORIES
TUTORING SERVICES
UTILITIES
VENDING
VETERINARIANS
VILLAS
WASTE DISPOSAL & COLLECTION
WATER SUPPLIER
WEBSITE DEVELOPMENT
WEDDINGS
WELCOME SERVICES
WHOLESALE FOOD DISTRIBUTORS
WHOLESALERS
WINDOW FASHIONS
WINDOWS
WINERY/WINE MANUFACTURING
WOODWORK
Workers Compensation
Employees:
Full-time
Part-time
Comments / Questions:
Physical Address
Line 1:
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Line 2:
City:
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State:
*
Postal Code:
*
Country:
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--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Mailing Address
Same as physical address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Primary Contact Information
First Name:
*
Last Name:
*
Phone:
*
Cell Phone:
Fax:
Email:
*
Contact Preference:
Email
Phone
Login:
*
Password:
*
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
Yemen
Billing Contact Information
Same as Primary Contact
First Name:
*
Last Name:
*
Phone:
*
Cell Phone:
Fax:
Email:
*
Contact Preference:
Email
Phone
Login:
*
Password:
*
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Canada
United States
Membership Options
Membership Package:
*
Chamber Alliance
:
$575.00
Alliance members receive all the benefits of General Membership plus: Enhanced listing on Chamber Web Site 2 complimentary passes to each Business After Hours (monthly) 2 tickets to each Issues & Eggs Breakfast
Friends of the Chamber
:
$1,100.00
Friends receive all the benefits of General Membership plus: -Featured category listing on Chamber Web Site -2 complimentary passes to each Business After Hours (monthly) -2 tickets to each Issues & Eggs Breakfast -4 free business card size ads in Chamber Connection Newsletter or equivalent (2 quarter page or 1 half page)
Bronze Partner
:
$2,600.00
Bronze Partners receive all the benefits of General Membership plus: -Banner ad with level 3 placement on Chamber -Web Site—includes direct link to your Company -2 half page ads or equivalent (1 full page) in the Chamber Connection Newsletter -2 complimentary passes to each Business After Hours (monthly) -2 tickets to each Issues & Eggs Breakfast
Silver Partner
:
$5,200.00
Silver Partners receive all the benefits of General Membership plus: -Banner ad with level 2 placement on Chamber -Web Site—with direct link to your Company -1/4 ad per month in the Chamber Connection Newsletter -4 tickets to Annual Dinner -4 complimentary passes to each Business After Hours (monthly) -4 tickets to each Issues & Eggs Breakfast
Gold Partner
:
$10,500.00
Gold Partners receive all the benefits of General Membership plus: -Banner ad with level 1 placement on Chamber Web Site—includes direct link to your Company Table sponsor of Annual Dinner with 8 reserved Tickets. -1 half page ad per month or 6 full page ads in the Chamber Connection Newsletter -50% off participant in Leadership Belleville Program -6 complimentary passes to each Business After Hours (monthly) -6 tickets to each Issues & Eggs Breakfast
Platinum Partner
:
$15,000.00
Platinum Partners receive all the benefits of General Membership plus: -Banner ad with level one placement on Chamber Web Site—with direct link to your Company -No booking fee to host one Business After Hours annually -1 full page ad monthly in the Chamber Connection Newsletter -1 free participant in Leadership Belleville Program -Major sponsor of Annual Dinner with 8 reserved Tickets -Otto Golf Classic Sponsor which includes one team -Major sponsor of the Annual Chili Cook-Off -8 complimentary passes to each Business After Hours (monthly) -8 tickets to each Issues & Eggs Breakfast
General Business
:
Please contact us to determine the fee.
General Business Membership Includes: Networking Events Marketing & Advertising Opportunities Professional Development Referrals Ribbon Cutting/Ground Breaking Ceremonies Call to Discuss this opportunity.
Payment Option:
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