Member Application

The Mitchell Chamber unites business owners, professionals, and citizens to lead the economic and social growth of our community. Through events, programs, and partnerships, we promote local businesses and foster a thriving business environment. Join us in building a better Mitchell and boosting your business through active community engagement.

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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