Community representatives and non-profit organizations applying for the first time should use this form. New membership application prices include a one-time $25 setup fee.

If renewing your membership, please use this form.

Configure for price
Membership Level * Select membership tier. For an explanation of each tier level, please click on thumbnail to enlarge it. For community representatives or non-profits, please use the Community Rep/Non-Profit regsitration form.
Set up fee *

The mailing address of the business.

The email address used to receive correspondence from the Chamber.

The type of business applying for membership

The name of the main representative of the business.

Main representative's position and/or title.

Business phone number.

Business fax number

Your business website (if it exists).

Name of the person who referred you to the Chamber

Names of any additional company representatives and their email addresses.

Enter this if different from mailing address.

How many ?



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Rehab Specialists.

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Recovery Resources

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