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.
 

Member Application:

* Company Name:  
* Phone:  
Website:
Email:
Business Description (200 char max)
Business Keywords: (enter a space between words)
 
* Physical Address:  
* City/State/ZIP:  
Country:
 
Mailing Address: Same as physical address
City/State/ZIP:
Country:
 
Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
* Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
* Login:
* Password:
 
Social Networking: LinkedIn:
Facebook:
Twitter:
Google+:
 
* Address: Same as Member Address
* City/State/ZIP:
Country:
 
 

Billing Contact Information:

Same as Primary Contact
* Name (First / Last):  /   
* Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
* Login:
* Password:
 
Social Networking: LinkedIn:
Facebook:
Twitter:
Google+:
 
* Address: Same as Member Address
* City/State/ZIP:
Country:
 
 
Membership Package:
Executive Trustee: $2,000.00
Six representatives, please see membership packet for extended details.
Business Trustee: $1,000.00
Two representatives, please see membership packet for extended details.
Business Member: $400.00
One Representative
Restaurant: $400.00
One Representative (up to 50% off in trade)
Entrepreneur / 1st Year Startup : Please contact us to determine the fee.
One Representative, Non-Franchise Please contact our office to determine your eligibility.
Connections Member : Please contact us to determine the fee.
One Representative, Community organizations, 501(c)(3) Not For Profits, Schools (Preschool-12th Grade). Please contact our office to determine your eligibility
Additional Fees:
Application Fee: $25
One-time application fee
Payment Option:
Charge my credit or debit card
 
 
Submit Application:
Enter the CAPTCHA answer, then press the Submit Application button.
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