Member Application

Company Information (* = required field)

 Company Name: *
 Mailing Address: *
 City: *
 State: *
 Zip: *
 Phone:
(The number you would like the public to call)
 Business E-mail Address:
(The e-mail address you would like the public to use)
 
 (Complete only if different from mailing address)
 Street Address:
 City:
 County:
 State:
 Zip:
 
 Website:
 Full-Time Employees: *  
 Part-Time Employees: *  

Representative's Information

 Prefix: (Mr., Ms., Dr., etc.): *
 First Name: *
 Middle Initial:
 Last Name: *
 Title: *
 Phone: *
(if different from company number)
Your individual email address: *
 
Membership Directory Listing (Yellow Pages Category).
 Please select a category from the dropdown below:
*
 
 I understand that by providing my mailing address, email address,
telephone number, and fax number, I consent to receive communications
sent by or on behalf of The Chamber via regular mail, email, telephone, or fax.
 
  Mail Fax Email
We prefer to receive our communications via:
We prefer not to receive:
 
 
Please list other organizations in which you belong:

Demographics (Check all that apply)
Ownership
Minority-Owned
Woman-Owned
Corporately-Owned
Locally-Owned
Franchise-Locally-Owned
Service-Disabled-Owned
Veteran-Owned
Home-Based
Federal Classifications
Individual/Sole Proprietor
Limited Liability Company
C Corporation
S Corporation
Partnership
Trust/Estate
Non-Profit
 
 Membership Investment:
 View all member benefits options HERE


$
 
    A one time processing fee of $25.00 will also be charged.
 
To inquire about Individual and Associate Memberships, call Corrie at (850) 521-3104 or (850) 224-8116
Please choose one of the following payment methods:
Credit Card (VISA, MasterCard, American Express, Discover)

Please make checks payable to: "Tallahassee Chamber of Commerce"
and mail to the Chamber address below:
Greater Tallahassee Chamber of Commerce
P.O. Box 1639
Tallahassee, FL 32301

Your company may choose to pay dues through an automatic bank debit from a checking account. Monthly membership dues investment is authorized for a twelve (12) month period and will renew automatically on the annual anniversary at the then current rate. Click HERE to download the writable ACH Authorization Form. A one-time ACH enrollment fee of $50.00 is required if this monthly payment option is selected. For further details or if you have any other questions, please contact the Membership Department at (850) 224-8116 or email [email protected].
 
If paying with a credit card, please use the form below:
 
 Credit Card Number    
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card Address 2
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Country
Credit Card Email Address
 
 Referred by:
 Company:
 
Your membership investment keeps our programs active and community services available. Contributions to the Chamber are not deductible as a charitable contribution for federal income tax purposes, however, they may be deducted as a business expense.
Please click submit only one time.  The transaction may take several seconds.