Member - Fruita Area Chamber of Commerce

Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Is your business Women owned?: *

Is your business Veteran owned?: *

Is your business Minority owned?: *

Other - Please indicate:

I am interested in participating in: Women in Business Group: *

I am interested in participating in: Veterans in Business Group: *

I am interested in participating in: Youth Employment Opportunities: *

I am interested in participating in: Volunteering: *

I am interested in participating in: Advertising: *

I am interested in participating in: Sponsorships with advertising: *

Physical Address

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City: *

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Mailing Address

Same as physical address

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City: *

State: *

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Country: *

Social Networking:

LinkedIn Facebook Instagram Twitter Alignable YouTube

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

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Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Non-Profit Membership: $100.00
Reserved for all eligible non-profit entities. Business Connector Membership: $200.00
Small Business - 19 or fewer employees Economic Partner Membership: $500.00
20 or more employees Fruita & Palisade Joint Membership - Small Business Package: $350.00
Join BOTH the Fruita Area Chamber of Commerce and the Palisade Chamber of Commerce at the same time to receive a discount (save $50) on your first year of membership dues! Fill out the online application once and we'll notify our partners in Palisade! Fruita & Palisade Joint Membership - Economic Partner Package (20+ employees): $900.00
Join BOTH Fruita Area Chamber of Commerce and Palisade Chamber of Commerce at the same time to receive a discount (save $200) on your first year of membership dues! Fill out the application once and we'll notify our partners in Palisade.

Additional Opportunities:

We will contact you with additional information.

Business After Hours Annual Punch Pass (12 - month pass) : $50.00
An annual pass to Business After Hours networking.

Payment Option:

Bill me Charge my credit or debit card

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Member Application

Mailing Address

Address

Address

Diamond Members

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