Become a MainStreet member

MEMBERSHIP INFORMATION:

Company Name*
Main Representative Mr. Mrs. Ms.
First Name*
Middle Initial
Last Name*
Title
Street Address*
(as it will appear in membership directory)
City*
State* *
Zip Code*
Telephone* (format: 555-555-5555)
Fax (format: 555-555-5555)
Email*
Website URL
(will be linked to the Chamber site)

Preferred Business Classification*
Username* (minimum 6 characters)
Password* (minimum 6 characters)
Business Description (250 characters)

ADDITIONAL INFORMATION:
Mailing Address (if different from street address)
Street
City
State
Zip Code

TELL US MORE ABOUT YOU:
Year your business was established
Home-based business? Yes No

Minority-owned business? No
African-American Owned
Asian-American Owned
Hispanic-American Owned
Women Owned
Other (please explain in comments below)

MEMBERSHIP INVESTMENT:*
Click on each membership level to read about the specific benefits. Then select your level of investment.
MainStreet General Membership
Home based business - $150
1-10 employees - $250
11-25 employees - $300
26-50 employees - $350
51+ employees - $500
Second Location - $100
Non-profit - $100
Individual - no listing on website or directory $75

Web site listing only
Yearly investment - $150

Number of full-time employees*