Member Application
Please complete and submit the form below to become a member of Chamber South. If you have any questions regarding the application, please call (305) 661-1621.
Step 1:
Member Info
Step 2:
Additional Info
Step 3:
Primary Contact
Step 4:
Billing Contact
Step 5:
Membership Options
Step 1:
Member Info
Company Name
*
Please add your company name.
Leave Blank
Phone
*
Please add your company phone number.
Website
Email
*
Please add a valid email.
Physical Address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Mailing Address
Same as physical address
Address line 1
Address line 2
Country
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
City
State
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
Postal Code
Social Network Addresses
LinkedIn
Facebook
Twitter
Google+
Instagram
Step 2:
Additional Info
Business Keywords
(enter a space between words)
Directory Category
Choose...
Acupuncture
Advertising Sales
Advertising Specialties & Promotional Products
Advertising/Graphic Design
Advertising/Marketing/Promotions
Advertising/Outdoor
Air Conditioning
Aircraft Financing/Leasing
Apparel/Women & Men
Architecture / Engineering / Planning / Interior Design
Attorneys
Attorneys/Tax Law
Audio/Video Retail
Auto Dealers-New/Used
Auto Racing Center
Auto Rentals
Auto Repair
Aviation
Bakeries
Banks/Financial Services
Banks/Savings and Loans
Banners
Bars/Taverns
Bathroom Fixtures
Beverage Service
Boat Rentals/Charters
Botanical Gardens
Bowling Lanes
Brewery
Business Consultants
Cabinets/Furniture/Woodwork
Car Wash
Caterers/Banquet Halls
Certified Public Accountants
Charitable Donation Centers
Chiropractic Physicians
Churches
Cigar and Wine Bar
Cleaners/Professional
Clubs - Country & Tennis
Coaching & Training
Collection Agencies
Colleges/Universities
Commercial Cleaning
Commercial Real Estate Broker
Communications
Computer Consultants
Computer Service
Computers/Sales & Service/Software/Systems/Supplies
Computers/Web Design & Hosting
Concierge
Construction Companies
Consultants/Business & Financial
Consultants/Environmental
Consultants/General
Convenience Stores
Couriers
Credit Card/Merchant Services
Credit Unions
Day Spas
Dental Insurance
Dentists
Developers
Digital Forensics
Direct Mail Services
Distributors
Dry Cleaners
Education
Education & Counseling Services
Electrical / Gas Contractors
Electrical Contractors
Electrical Equipment/Supplies
Embroidery Design and Digitizing
Emergency Medicine
Employee Assistance Programs
Employee Benefits/Insurance
Employment Agency
Engineers
Event Planner
Events & Entertainment
Export/Heavy Equipment/Parts
Facilitator
Financial Planning
Fire Extinguishers/Fire Suppression Systems
Fitness
Flooring
Florists/Gifts/Gift Baskets
Food Market
Food Service
Frames/Framing
Fraternities
Funeral Homes
Furniture
General Contractors
Golf & Recreation
Government Offices
Government Relations
Graphic Design
Hair Removal/ Waxing Salon
Health & Beauty Products
Health Care
Health Care Business Consulting
Health Clubs
Health Clubs & Fitness Centers
Health Consultants
Home Health Care
Home Improvements
Home Improvements
Honorary Members
Hospitals
Hotels/Motels
Hotels/Motels
Human Resources
Human Resources/Recruitment
Import/Export
Information Technology / Cyber-Security
Insurance
Insurance Adjusters
Insurance/Financial Services
Interior Design
International Trade
Internet Service Providers
Investments
Jewelers/Jewelry
Laboratory Furniture
Landscape Architects
Landscape/Lawn/Tree Service
Legal Services
Lighting Sales/Service
Management Consultants
Manufacturers Representative
Marketing
Marketing Communications
Masonry
Massage Therapy
Medical Centers
Medical Services
Mental Health Care / Psychologists & Psychiatrists
Military
Mortgage Bankers
Mortgage Brokers
Motorcycle Dealer
Moving Companies
Museum
Musicians
Networking Organization
Newspapers
Nightclubs
Non-Profit Organizations
Office Supplies
Orthodontist
Packaging/Shipping
Painting
Pari-Mutual
Paving
Payroll Checkwriting
Payroll Processing
Pet Services
Pharmacies/Drug Stores
Photographic Supplies & Equipment
Photography
Physicians
Physicians/Dermatology
Physicians/Optometry
Physicians/Pediatrics
Physicians/Plastic Surgeon
Plumbing
Printers
Printers Cartridges
Printers/Copy and Office Outsource Center
Printers/Copy Centers
Private Utilities
Promotional Products
Property Management
Public Relations Consulting Firm
Publishing
Purchasing Agents
Re-habilitation/Physical Therapy
Real Estate
Real Estate Appraisers
Real Estate Brokers
Real Estate Development
Real Estate Management-Commercial
Real Estate/Commercial & Industrial
Residential
Residential
Restaurants
Restaurants/Bar & Grille
Restaurants/Catering
Restaurants/Irish Pub
Restaurants/Mediterranean
Restaurants/Take-out & Delivery
Retail Sales
Roofing
Sanitation Services
Schools/Adult Education
Schools/Private
Schools/Public
Security
Security Systems
Senior Living Community
Shopping Centers
Signs & Graphics
Social Services
Sporting Events & Entertainment
Storage
Supermarkets
Surveyors
Tanning Spas
Tax Consultants
Technology Consultation
Telecommunications
Telephone Equipment, Systems, Supplies and Parts
Theatres
Title Companies
Tourism/Convention Information
Transportation
Travel Agencies
Trophies/Plaques/Engraving/Medals/Ribbons
Trustees
Unions
Utilities
Veterinarians
Water/Bottle/Treatment/Purification
Weight Management System
Wholesale Club
Wireless Communications/Paging
Full-time Employees
Part-time Employees
Step 3:
Primary Contact
First Name
*
Please add your first name.
Last Name
*
Please add your last name.
Title
*
Please add your title.
Phone
*
Please add your phone number.
Cell Phone
Fax
Email
*
Please add a valid email.
Contact Preference
Email
Phone
Address
Same as Address in Step 1
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
Facebook
Twitter
Google+
Instagram
Create Account
This Login is already in use
Login
*
Please add your login username.
Password
*
Please add your login password.
Step 4:
Billing Contact
Same as Primary Contact
First Name
*
Please add your first name.
Last Name
*
Please add your last name.
Title
*
Please add your title.
Phone
*
Please add your phone number.
Cell Phone
Fax
Email
*
Please add a valid email.
Contact Preference
Email
Phone
Address
Same as Primary Contact Address
Address line 1
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Please add your country.
City
*
Please add your City.
State
*
Choose...
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please add your State.
State
*
Choose...
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please add your State.
State
*
Please add your State.
Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
Facebook
Twitter
Google+
Instagram
Create Account
This Login is already in use
Login
*
Please add your login username.
Password
*
Please add your login password.
Step 5:
Membership Package
Please select a Membership Package
Trustee Membership
$2,150
Four representatives, please see membership packet for full details.
Large Business Membership
$1,000
Three representatives, please see membership packet for full details.
Business/Restaurant Membership
$500
One Representative
Non-Profit Membership
$250
One Representative, a copy of 501(c)(3) determination required.
Additional Fees:
Application Fee: $25
$25 one time
One-time application fee
Comments/Questions
Payment Option
Charge my credit or debit card
Please complete the Captcha
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