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MEMBERSHIP/RENEWAL APPLICATION - STEP 1

 
 

Our online application is an easy two step process.

Step 1) Complete this application form and click on the 'SUBMIT >' button.  Fields marked with an "*" are required
Step 2) You will then be transferred to our payment page where you can provide us with your payment information using our SECURE payment center (secure payment page provided by New Bedford Internet).
 

Company Name *
Contact Name *
Contact Email *
Phone * format: (555) 555-5555
Fax
Email [this e-mail will be displayed in our online member directory]
Website [this web address will be displayed in our online member directory]
  ex: http://www.yourdomainname.com
   
Street Address
 
City
State
Zip Code
   
   
Date business was established
  mm/dd/yyyy
Number of Full Time employees
Number of Part Time employees
   
  As a Chamber member, your business can be listed in as many as three different Business Classifications in the Chamber Directory. (see classifications list)

Example for Business classification codes
- XYZ Florist & Gifts Company
- appropriate codes = 0079 Florists/ 0272 Gift Shops

See Classification Codes (link will open in a new window - be sure to allow the pop-up window)
 

Classification Code 1
Classification Code 2
Classification Code 3
   
 
 

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