Member Application Business Information Company Name: * Leave Blank: Phone: * Website: Email: * Business Description (200 char max): Directory Category: --- Select Primary Category --- 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: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Türkiye Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World 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 Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Türkiye Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World 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 Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Türkiye Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World 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: Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Greater Belleville Chamber of Commerce. I grant Greater Belleville Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application ShareTweetShare0 Shares ShareTweetShare0 Shares