Member Application

The Mitchell Chamber serves as an organization through which business owners, professionals, employees and citizens united to provide leadership and direction for the economic and social development of our community. Our partners benefit from the many programs and events held to promote their business and the business community-as-a-whole. Joining our mission of building a better Mitchell starts with you. The Chamber offers many ways to supercharge your business while actively engaging in the community.

Business Information

Company Name: *

Leave Blank:

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:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

New Membership: See fee schedule to determine the fee and enter it below.
If using fee schedule, enter fee here:

Additional Fees:

Processing Fee : $0.00
One time processing fee

Payment Option:

Bill me Charge my credit or debit card

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