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 e-mail provided. Membership Dues for 2019 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
Please add your company name.
Please add your company phone number.
Please add a valid email.
Physical Address
Mailing Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Social Network Addresses

Step 2:

Additional Info
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your City.
Please add your State.
Please add your Postal Code.
Please add your country.
Social Network Addresses
Create Account
Please add your login username.
Please add your login password.

Step 4:

Billing Information
Please add your first name.
Please add your last name.
Please add your phone number.
Please add a valid email.

Contact Preference

Address
Please add your address.
Please add your City.
Please add your MN.
Please add your Postal Code.
Please add your country.
Social Network Addresses
Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Payment Option
Please complete the Captcha