Membership Information

Select one *New MemberRenewal PaymentInformation Update

Business/Organization Name

Physical Address

Apartment, suite, etc

City

State

ZIP Code

Mailing Address *Same As Physical AddressDifferent from Physical Address

Mailing Address

Apartment, suite, etc

City

State

ZIP Code

Main Business Phone Number

Main Business Email Address

Website URL

Social Media URLFacebook, Instagram, Twitter, LinkedIn, Etc...

Second Social Media URLFacebook, Instagram, Twitter, LinkedIn, Etc...

Business Hours

Contact Information

Main Contact Name

Position

Business Phone Number

Cell Phone Number

Your Email Address

Billing Contact *Same As Main Contact PersonDifferent from Main Contact Person

Billing Contact Name

Billing Phone Number

Billing Email Address

Membership Application

Number of Full Time Employees(including owners/partners)

Are you Home Based Business?YesNo

Years in Business

Chamber member since

Membership Dues

Membership LevelBusiness (1-4 FTE* employees) $145Business (5-10 FTE* employees) $195Business (11-20 FTE* employees) $280Business (21-50 FTE* employees) $455Business (51+ FTE* employees) $595Non-profit, Civic Organization $100Government Agency $120Individual (non-business member) $50

Enhance your membership

Event Sponsor ($500-$1000)Gold Club Enhanced Business Listing on Website +$50

Event Sponsorship Amount$500 to $1000 sponsorships are payable online. Please contact us for other amounts.

Total Dues

Authorized Signature

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Payment MethodPay OnlineMail a Check

Please Mail Payment in Amount of {calculation-1}

Estacada Chamber of Commerce
Post Office Box 1132
Estacada, OR 97023

Contact Information

Membership Application

Business Category

Membership Dues

Enhance your membership