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Join the Chamber

APPLY NOW

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Business Information

Business/Organization Name *

Date Established *

Number of Employees *

Main Contact Information

Main Contact *

Will be used as the primary contact for Chamber membership.

Main Contact E-mail *

Main Contact Phone Number *

Preferred Contact Method for Main Contact *

E-mail

Mail

Website Listing Information

Website Contact (if different than Main Contact)

Will be listed on the Chamber website as the business contact.

Website Contact Email

Website Contact Phone Number

Company Description *

To be used on business listing on Chamber website. 100 words or less.

Company Website URL

Company Address

Address *

Address Line 2

City *

State *

Postal Code *

Is this a home address?

Yes, please hide on the website

No, this is a public address

Billing Information

Billing Address

(Check if billing address is same as above)

Billing Address

Billing Address Line 2

Billing City

Billing State

Billing Postal Code

Billing Contact Name

Billing Contact Phone

Billing Contact E-mail

Preferred Contact Method for Billing

E-mail

Mail

If different than Main Contact preferred method

Other

How did you hear about the Chamber?

Social Media

Search Engine

Advertisements

Member referralMember referral

OtherOther

What lead you to join the Chamber? (Check all that apply)

Community Involvement

Networking Opportunities

Advertising Opportunities

Civic Duty

OtherOther

Membership Level

Choose Membership Tier

Gold $5,000

Silver $2,500

Bronze $1,000

Premier $450

Primary $325

Individual Business Partner $175

New Business Partner $175

New Business Partner plus CNC Membership for $270

Non-Profit Partner $100

Individual Social Partner $50

Multi-Location Partner $175

All applications submitted through this form will be valid for 90 days. If payment is not received within 90 days, a new application will need to be submitted.

Click here to see membership level descriptions.

CONTACT US

17 S. Monroe
Rockford MI 49341
616.866.2000

Hours:
Monday-Friday
9 a.m.-4 p.m.

Send us an email!

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GOLD CHAMPIONSHIP SPONSORS

Aerial photo of Rockford Dam courtesy Cristian Greger

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