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Member Application

Thank you for your interest in joining the Verona Area Chamber of Commerce! Please fill out the form below and submit for approval. Once approved, we will send an invoice to the email provided. NOTE: **IF YOU ARE JOINING US AFTER THE LAST DAY OF MARCH, PLEASE REQUEST TO BE INVOICED SO WE CAN PROCESS YOUR PRORATE COST.** Membership Dues for 2024 are as follows: Base Dues: $250 (up to 5 FTE) Base w/ 6-10 FTE +$25 (Total=$275) Base w/ 11 – 15 FTE +$50 (Total = $300) Base w/ 16-20 FTE +$75 (Total = $325) Base w/ 21 – 25 FTE +$100 (Total=$350) Base w/ 26-30 FTE +$125 (Total=$375) Base w/ 31-40 FTE +$175 (Total=$425) Base w/ 41-50 FTE +$225 (Total = $475) Base w/ 51 – 60 FTE +$275 (Total = $525) Base w/ 61+ FTE +$450 (Total= $700 MAX) Financial Institution and Utilities: $600 Flat rate Government: $200 Flat Rate Individual under Umbrella Company: $230 Flat Rate Associate (not-for-profit or family): $125 Flat Rate Membership fees may be tax deductible. Check with your tax advisor.

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1

Address line 2

Country

City

State

Postal Code

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Create Account

This Login is already in use

Please add your login username.

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Email *

Please add a valid email.

Contact Preference

Phone

Address

Same as Primary Contact Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Twitter

Instagram

Create Account

This Login is already in use

Please add your login username.

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Base Dues $ 250

For Businesses with up to 5 Full Time Employees

Base Dues w/ 6-10 FTE $ 275

Base Dues for Businesses with 6-10 Full Time Employees +$25

Base Dues w/ 11-15 FTE $ 300

Base Dues for Businesses with 11-15 Full Time Employees +$50

Base Dues w 16-20 FTE $ 325

Base Dues for Businesses with 16-20 Full Time Employees +$75

Base Dues w/ 21-25 FTE $ 350

Base Dues for Businesses with 21-25 Full Time Employees +$100

Base Dues w/ 26-30 FTE $ 375

Base Dues for Businesses with 26-30 Full Time Employees +$125

Base Dues w/ 31-40 FTE $ 425

Base Dues for Businesses with 31-40 Full Time Employees +$175

Base Dues w/ 41-50 FTE $ 475

Base Dues with 41-50 Full Time Employees +$225

Base Dues w/ 51-60 FTE $ 525

Base Dues with 51-60 Full Time Employees +$275

Base Dues w/ 61+ FTE $ 700

Base Dues with 61 or more full time employees +450 (MAX)

Financial Institution and Utilities $ 600

Non-Profit $ 125

Churches and other non-profit organizations

Government $ 200

Sole Proprietor $ 230

Individuals working under a corporate umbrella but function autonomously.

Associate $ 125

Individuals not associated with a specific chamber member or company

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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