Member - Niceville Valparaiso Chamber of Commerce, FL

Member Application

Welcome to the Niceville Valparaiso Chamber of Commerce! Membership is a great way to take your business to the next level and build a referral network. We look forward to meeting you soon. Your admission fee will be waived the first time you attend a Second Wednesday Breakfast. Simply let the person at the registration table know you are a new member and they will take care of you!

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.

FL *
Please add your FL.

FL *
Please add your FL.

FL *
Please add your FL.

Postal Code *
Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

FL

FL *
Please add your FL.

FL

Postal Code

Social Network Addresses

LinkedIn

Facebook

Twitter

YouTube

Website

Instagram

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.

Sponsor

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.

FL *
Please add your FL.

FL *
Please add your FL.

FL *
Please add your FL.

Postal Code *
Please add your Postal Code.

Social Network Addresses

LinkedIn

Facebook

Twitter

YouTube

Website

Instagram

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Title

Phone

Cell Phone

Fax

Email

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1

Address line 2

Country

City

FL

FL *
Please add your FL.

FL

Postal Code

Social Network Addresses

LinkedIn

Facebook

Twitter

YouTube

Website

Instagram

Step 5:

Membership Package

Please select a Membership Package

Business Silver Investment - 1-9 Employees $ 450
Includes one designated representative. Additional representatives may be added for $200 each.

Business Gold Investment - 10-50 Employees $ 700
Includes two designated representatives. Additional representatives may be added for $200 each.

Business Platinum Investment - More than 50 Employees $ 1,000
Includes three designated representatives. Additional representatives may be added for $200 each.

Trustee Membership $ 2,500
This prestigious level offers businesses added benefits including: six designated representatives, VIP admission to monthly breakfast, special listings in all Chamber publications, complimentary banner advertisement on Chamber website, and priority options for sponsoring Chamber events.

Additional Representatives $ 200
Restricted to primary businesses wishing to add additional representatives.

Individual Memberships $ 200
Restricted to retirees, elected officials, active duty military and those with no business affiliation. May not promote any company or product.

Non-profit Organizations - Level 1 $ 200
Organizations with no paid employees, strictly volunteers. Includes one designated representative. Documentation of non-profit status may be requested.

Non-Profit Organizations - Level 2 $ 295
Organization with 1-10 paid employees. Includes two designated representatives. Documentation of non-profit status may be requested

Non-Profit Organizations - Level 3 $ 395
Organizations with 50 or more paid employees. Includes three designated representative. Documentation of non-profit status may be requested

Schools and Government Agencies $ 200
All schools (private and public), and government organizations. Includes one designated representative.

Additional Fees:

New Member Enrollment Fee $25 one time
Each new membership requires a one-time $25 enrollment fee, to be paid with the initial new member dues.

Additional Options:

Additional Business Categories
Each membership includes one business category listings. Additional category listings may be purchased.

Contribution to the Chamber Foundation
Tax deductible contribution to support the projects of the Chamber Foundation, a 501 C 3 Organization dedicated to Educational and Environmental projects.

Comments/Questions

Payment Option

Charge my credit or debit card

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