Member

Thank you for your interest in membership with the Springfield Area Chamber of Commerce. Please fill in and submit the form below to select the partnership level you desire. You may contact our offices directly with any questions at 541.746.1651. We look forward to serving you!

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email:

Minority Owned:

Veteran Owned:

Woman Owned:

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:

Email: *

Contact Preference:

Email Phone

Password: *

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Email:

Contact Preference:

Email Phone

Password:

Membership Options

Membership Package: *

Community Builder Partnership: $6,000.00
This partnership clearly cements the role you play to keep our community strong. Growth Partnership: $3,100.00
This partnership will illustrate your level of engagement and dedication. Business Builder Partnership: $1,600.00
This partnership displays a deep commitment to the mission. Pacesetter Partnership: $770.00
This partnership strengthens your capacity to prosper and grow. Classic Business Membership: $440.00
Whether you are a start-up or a seasoned business, this is a great value for members.

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address