Join the Chamber

Your Business Information
Business name*
Year established
Home based business	Yes No
Classification of business*
Additional classification ($20 each)
Additional classification ($20 each)
Website address
Phone number*
Fax number
Mailing/Billing address*
City*
State*
Zip*

Physical address (if different)
City
State
Zip

Address to publish	Mailing Physical
Main Representative (listed in Directory and on website, will receive our monthly newsletter and email blasts, one person will be on our mailing list unless otherwise requested.)
Name*
Title*
Email
Full-time Equivalency Employees*
Additional Contacts (Will recieve emails only.)
Name
Title
Email
Name
Title
Email
Description of your organization (one paragraph, 200 words or less)

Create username and password
Username*
Password*
Fee structure
	Membership to the Castle Rock Chamber of Commerce is in effect for one full year, based on the date a member applies and pays for membership.
Fee Structure - Chamber Investment Options
	Application fee (one time) $25 Optional weblink (one time) $25
	Ascent $750 (Value $4,680) more info >>
	Network $500 (Value $2,840) more info >>
	Community Connection $250 (Value $1,140) more info >>
	Non profit 501 (C)(3) $250 (Value $2,840) Proof of non-profit status required
Fee structure - Chairman's Circle Membership
	Premier Membership $2,500 (Value $11,125) more info >>
	Entrepreneur Membership $6,000(Value: $16,600) more info >>
	Executive Membership $9,000 (Value: $24,000) more info >>
	President's Membership $12,000 (Value: $39,900) more info >>
Contract Terms
The submitter does hereby make an application for membership in the Castle Rock Chamber of Commerce. The annual investment shall be determined by the investment level chosen. Membership shall be continuous unless cancelled by notice in writing, due to death of the primary business owner, dissolution of member business or by action of the Board of Directors. New membership begins with receipt of payment.
Payment Details
Card Type*
Card Holder Name*
Card Number*
Expiration Date*	/
CSV Code*