Business Information

Company Name: *

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Physical Address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1: *

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

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

0-2: Please contact us to determine the fee.
For companies with 0-2 employees 3-10: Please contact us to determine the fee.
For companies with 3-10 employees 11+: Please contact us to determine the fee.
For companies with more than 10 employees 501(c)3: Please contact us to determine the fee.
For Charitable Organizations (churches, non-profits) Silver Members: Please contact us to determine the fee.
Benefits include:

Highlighted as a Silver Member
Membership
Choose 3 benefits from this list:

1 Ticket to each Chamber Forum/Luncheon
1 Featured Article in the WWU (Weekly What's Up)
Premier Listing on the Chamber website (http://huttochamber.com
1 sponsored e-Blast
1 Event Booth at the Business Expo
1 Event Booth at the Crawfish Festival
1 Event Booth at Olde Tyme Days

_______________________________________ Gold Members: Please contact us to determine the fee.
Benefits include:

Highlighted as a Gold Member
Membership
Choose 6 benefits from this list:

2 Tickets to each Chamber Forum/Luncheon
1 Quarter-Page ad in the Newcomer Guide and Community Directory
Annual web advertisement on the Chamber website
Gold Member Forum/Luncheon Sponsorship
1 Featured Article in the WWU (Weekly What's Up)
Premier Listing on the Chamber website (http://huttochamber.com
1 sponsored e-Blast
1 Premium Event Booth at the Business Expo
1 Premium Event Booth at the Crawfish Festival
1 Premium Event Booth at Olde Tyme Days
1 Gold Sponsorship at the Crawfish Festival (includes booth>
1 Gold Sponsorship at Olde Tyme Days (includes booth)

_______________________________________

Payment Option:

Bill me

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 1 plus 2?: *

Print Application

Member Application

Mailing Address

Address

Address