Member Application

Join the Burlington Chamber of Commerce today!

We can't wait for the opportunity to work with, support, and advocate for you! Fill out our online application below, or download the PDF version here.

We look forward to adding you as part of our organization!
Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email:

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Would you like to be on a committee: *

Would you like to volunteer: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

0-5 Employee: $265.00
2 PT = 1 FT employees 6-15 Employees: $350.00
2 PT = 1 FT employees 16 -25 Employees: $440.00
2 PT = 1 FT employees 26-35 Employees: $500.00
2 PT = 1 FT employees 36-50 Employees: $570.00
2 PT = 1 FT employees 50+ Employees: $660.00
2 PT = 1 FT employees Patron Membership: $1,000.00
Premier Membership: $2,000.00
Additional Company: $60.00
Contact The Chamber for rules regarding additional company.

Additional Opportunities:

We will contact you with additional information.

E-News Sponsorship : $50.00
$50 per week or $600 for 14 weeks (two free) Newsletter Insert : $85.00
375 copies of a 8.5x11 flyer for the Newsletter. Newsletter Ad : $0.00
One year Ad in the Newsletter three sizes 1/4 page Ad $800 1/8 page Ad $500 1/15 page Ad $350 Additional Directory Category : $30.00
Better visibility to be in more than one category. Luncheon Sponsorship : $0.00
You will get 8 minutes to present to the membership about your business or upcoming event at the monthly membership meeting. Your sponsorship will be promoted along with the month membership luncheon meeting. Berry Dairy Days Sponsorship : $0.00
There are several levels starting at $4000 to $250. Please contact the chamber for details regarding the sponsorship levels. Awards of Excellence Sponsorship : $0.00
Three levels to sponsor for the wards of Excellence $1500, $1000 and $500 Tree Lighting Sponsorship : $0.00
There are three levels for Sponsorship. $500, $250 or $100

Payment Option:

Bill me Charge my credit or debit card

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