Member - Canton Texas Chamber of Commerce, TX

BUSINESS OF THE MONTH

January

Member Application

Thank you for your interest in the Canton Texas Chamber of Commerce.
Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

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

Login: *

Password: *

Social Networking:

LinkedIn Facebook

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

Login: *

Password: *

Social Networking:

LinkedIn Facebook

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Active Member: $160.00
A business located inside Van Zandt County. Active Member Outside VZCo: $200.00
This is a business that is located outside of Van Zandt County Associate Member (Non-Profit): $60.00
This is a company or an organization that is Non-Profit First Monday Vendor: $60.00
A business that only does business at First Monday Trade Days Individual Member: $25.00
This is a member who does not have a business to promote.

Payment Option:

Bill me Charge my credit or debit card

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