Member - – – Steinbach Chamber of Commerce

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email:

Directory Category:

Employees:

Full-time Part-time

Comments / Questions:

Business Announcement to Membership: (Complete a small write up for your promotion you'd like the Chamber to use to announce your business to our membership on the value you provide to the business community.) If you have issues writing something here contact info@steinbachchamber.com for assistance:

Display Email Address: (Can the Chamber display and provide a link to your email address in the launch of your announcement to our membership): *

Can the Chamber display your primary contact name in the newsletter?: *

Would you like to learn more about the Chamber of Commerce group insurance and benefits plan?: *

Would you like to learn more about our First Data credit card processing rates, providing guaranteed lowest rates for Chamber members?: *

Physical Address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

Province:

Postal Code:

Country:

Social Networking:

LinkedIn Facebook Instagram Twitter YouTube

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

Membership Options

Membership Package: *

Membership 1-5 Employees: $145.00
For organizations with 1-5 employees. Membership 6-20 Employees: $255.00
For organizations with 6-20 employees. Membership 21-49 Employees: $365.00
For organizations with 21-49 employees. Membership 50-149 Employees: $475.00
For organizations with 50-149 employees Membership 150+ Employees: $685.00
For organizations with 150+ employees Non-Profit Organizations: $95.00
For not for profit organizations.

Payment Option:

Bill me Charge my credit or debit card

Member Application

Mailing Address

Address

Address