Member - Carbondale Chamber of Commerce, IL

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Member Application

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 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your 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 *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Step 2:

Additional Info

Business Description (200 char max)

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

Fax

Email *
Please add a valid email.

Contact Preference

Email

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 *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Twitter

Youtube

Instagram

Create Account

This Login is already in use

Login *
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

Fax

Email *
Please add a valid email.

Contact Preference

Email

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 *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Twitter

Youtube

Instagram

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Carbondale Young Professional $40
Individual Membership

Carbondale Young Professional $25
Student Membership

1-10 Full-Time Employees $230
This membership tier is for 1-10 Full-Time Employees. *Please note that 2 Part-Time Employees equals 1 Full-Time

11-20 Full-Time Employees $315
This membership tier is for 11-20 Full-Time Employees. *Please note that 2 Part-Time Employees equals 1 Full-Time

21-50 Full-Time Employees $400
This membership tier is for 21-50 Full-Time Employees. *Please note that 2 Part-Time Employees equals 1 Full-Time

51-100 Full-Time Employees $570
This membership tier is for 51-100 Full-Time Employees. *Please note that 2 Part-Time Employees equals 1 Full-Time

101-500 Full-Time Employees $875
This membership tier is for 101-500 Full-Time Employees. *Please note that 2 Part-Time Employees equals 1 Full-Time

501-1000 Full-Time Employees $1,450
This membership tier is for 501-1000 Full-Time Employees. *Please note that 2 Part-Time Employees equals 1 Full-Time

1001-2500 Full-Time Employees $2,050
This membership tier is for 1001-2500 Full-Time Employees. *Please note that 2 Part-Time Employees equals 1 Full-Time

2501+ Full-Time Employees $5,300
This membership tier is for 2501+ Full-Time Employees. *Please note that 2 Part-Time Employees equals 1 Full-Time

Not-for-Profit 1-50 Full-Time Employees $105
For charities, clubs and other organizations recognized as not-for-profit for tax purposes. *Please note that 2 Part-Time Employees equal 1 Full Time.

Not-for-Profit 51-100 Full-Time Employees $270
For charities, clubs and other organizations recognized as not-for-profit for tax purposes. For more than 100 FTE, please use regular levels above. *2 Part-Time Employees=1 FTE

Booster (Individual) $105
For individuals who desire to support the Chamber. Booster members are not recognized as being affiliated with any business or organization.

SIU Subsidiaries $150
For academic units, departments and other Southern Illinois University offices which desire to have their own membership.

Secondary Business $150
Second Business under same ownership

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