Member Application
Thank you for your interest in becoming a member of the Greater Tomah Area Chamber of Commerce.
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
*
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Address line 2
Country
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Afghanistan
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Australia
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Bosnia and Herzegovina
Botswana
Brazil
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Bulgaria
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Canada
Caribbean
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China
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Costa Rica
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Latin America
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New Zealand
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Philippines
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Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
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Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
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U.A.E.
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City
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Maryland
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New Hampshire
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Ohio
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Washington
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State
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Alberta
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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
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
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
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Northern Mariana Islands
Ohio
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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
GooglePlus
Step 2:
Additional Info
Business Description (200 char max)
Business Keywords
(enter a space between words)
Directory Category
Choose...
Accountants
Advertising/Promotions
Agriculture
Amish Items
Antiques/Estate Sales/Consignments
Apartments
Architectural Design/Building
Art Galleries
Arts/Crafts
Assisted Living/Nursing Care Facilities
Attorneys/Legal Services
Audio/Video Services
Auto Dealership
Auto Detailing/Wash
Auto Parts/Repairs
Awards/Trophies
Bakeries
Banks/Credit Unions
Bar/Bar & Grill
Beauty/Salons/Spas
Books/Stationery
Bowling
Bus/Shuttle
Butcher/Meat Shop
Campgrounds/Cabins
Car Rentals
Carpets/Interiors
Casino
Childcare
Children's Clothing/Toys
Chiropractors
Christmas Tree Farms
Churches
Cleaning Services
Clothing/Shoes
Coffee Shops
Community Organizations
Computer Service/Sales
Concrete/Cement
Construction Management
Consultants
Contractors
Convenience Store/Gas Stations
Counseling
Cranberry Items
Dance
Dental
Dry Cleaners
Education
Elected Officials
Electricians
Embroidery/Screen Printing
Employment Services
Entertainment
Event/Meeting Facilities
Excavating
Festivals
Financial/Investment Services
Fireworks
Fishing
Florists
Food & Beverage/Catering
Forestry
Funeral/Cremation Services
Gifts/Specialty Items
Golf/Country Clubs
Government
Graphic Design
Grocery Stores
Hardware
Headstones/Monuments
Health/Fitness
Heating/Air Conditioning
Holistic Health
Home Furnishings
Hospitals/Clinics
Hotels/Motels
Human Resource Services
Individual Members
Insurance
Interior Design
Jewelry
Landscaping
Liquor Store
Live Performances
Lumber/Other Building Materials
Mail Services/Shipping
Manufacturing/Production
Marine Charters Sales/Service
Marketing
Massage Therapy
Mortgage Banking
Museums
Newspapers/Publications
Nutrition
Office Furniture/Supplies/Equipment
Optical Services
Personal Services/Care
Pet Care/Training/Retail
Pharmacy
Photographers/Photo Finishing/Framing
Plumbers
Printing/Typesetting Services
Property Leasing/Management
Public Relations
Radio/Television Stations
Real Estate Services
Recreational Rentals
Resorts
Restaurants/Specialty Dining
Security Services
Shopping Centers
Signs/Banners
Skating
Sporting Goods
Storage
Tax Preparation
Taxi
Technology/Website Services
Telecommunications
Theatres
Title Services
Tours
Travel Agencies
Trucking Sales/Service
Uniform Supply/Rental Services
Utilities
Veterinarians
Warehouse/Distribution Services
Waste Disposal/Recycling Services
Water Delivery/Conditioning
Wellness
Wholesale
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
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
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
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
GooglePlus
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
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
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo [DRC]
Costa Rica
Croatia
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Lao PDR
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia (Former Yugoslav Republic of Macedonia)
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Principality of Monaco
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro (Former)
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vietnam
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
GooglePlus
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
Lead Membership
$
4,000
Golf Team at the Chamber Golf Outing Half page, 4-color ad in Tomah Activities Guide, Quarter Page marketing article in the Tomah Journal, Sponsor the Cranfest Shuttle, 2 social media promos a month, Executive spotlight in Chamber newsletter, Advanced opportunities to register for events, plus ALL other tiers!
Influence Membership
$
2,000
10 social media promos, Quarter page, 4-color ad in Tomah Activities Guide, Design services for 1 print/web ad, 2 tickets to a chamber educational program, Guest editorial in monthly Chamber newsletter, 200-word "Business Spotlight" on Chamber website & Newsletter, Plus ALL Accelerated, Growth, & Basic Membership
Accelerated Membership
$
1,000
Full page ad in the Chamber newsletter, Corporate table at the Chamber Annual Banquet, Banner Ad, Logo, & Bold listing on the Chamber website, 1 ticket to a chamber educational program, 2 social media promos, Hole sponsorship at the Chamber golf outing, Plus ALL Growth & Basic Membership
Growth Membership
$
500
100-word "Business Spotlight" feature on Chamber website & Chamber newsletter, Sponsorship of 4th of July parade and holiday parade, Logo displayed on 12 Chamber Newsletters and 26 chamber emails, Unlimited ability to post job openings, Member to Member Deals, & Hot Deal listings on chamber site, Plus ALL Basic Membership Opportunities & Perks
Foundation Membership
$
250
Chamber networking events, Event Sponsorship, Vote in Chamber elections, Ambassador Opportunities, New member recognition, Advertising Opportunities, Listing on Chamber website & login to update your info, Ribbon Cutting/Open House/Ground Breaking, Opportunity to purchase membership labels/lists for mass mailing purposes
Non-Profit & Government Rate
$
150
Basic Membership at a discounted rate.
Individual Membership
$
50
Membership for an individual person.
Comments/Questions
Payment Option
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Charge my credit or debit card
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