Member Application
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
*
Please add your company website.
Email
*
Please add a valid email.
Physical 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
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
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
Ghana
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
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.A.E.
Ukraine
United Kingdom
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Uruguay
Uzbekistan
Vietnam
Yemen
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State
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Marshall Islands
Maryland
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Mississippi
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Montana
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New Hampshire
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New Mexico
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Northern Mariana Islands
Ohio
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Washington
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Wyoming
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State
*
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Alberta
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Northwest Territories
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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
*
Please add your address.
Address line 2
Country
*
Choose...
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
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
Ghana
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
South Sudan
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
Youtube
Instagram
Step 2:
Additional Info
Business Description (200 char max)
*
Please add your company description.
Business Keywords
*
(enter a space between words)
Please add your business keywords.
Directory Category
*
Choose...
Accountants / Bookkeeping
Adventure/Outdoor Recreation
Agricultural Services
Airports
Alpacas
Arts
Auto Body Repair
Auto Dealership
Auto Service/Repair
Bakeries
Balloons Decorating & Events
Banks / Credit Unions
Barbershops
Beauty / Skin Care
Bed & Breakfast
Bicycle Shops
Breweries / Distillers
Building Materials
Business Development
Business Services
Camping/RV
Car Rental
Catering
CBD
Chamber of Commerce
Churches
Cleaning Supplies & Equipment
Coffee Houses
Collection Agencies
Computer Services
Conservation / Environment
Construction / Contractors / Architects
Convenience Stores
Custom Framing/Art Gallery
Economic Development
Employment Services
Engineering
Entertainment
Event Services & Support
Excavating
Farms and Orchards
Figure Skating Products & Services
Financial / Investment
Floral
Food Vendors
Fruit Stands & Products
Funeral Services
Gas & Oil Services
Gifts
Gourmet Food
Government
Graphic Design
Grocery
Hardware / Farm Supply
Health / Wellness
Heating / Cooling
Hospital
Hotel/Motel
Household (individual) Members
Human Resourses
Industrial / Mining Supplies
Information IT
Inkjet Cartridge Refill / Laser Toner Service
Insurance
Kennels
Lawn Care / Tree Removal
Legal Services
Limosines
Liquor Stores
Lodging
Marketing Services
Massage / Therapeutic
Media
Medical / Dental
Mobile Home Parks
Mortgage Services
Moving
Music
Non Profit Organizations
Nurseries / Greenhouse
Office Furniture and Design
Office Supplies
Pest Control
Pet Services
Pharmacies
Photography
Plumbing
Plumbing Services
Print / Copy / Document Services
Promotional Products
Publishing
Real Estate
Recreation
Recreational Vehicles & Motorsports
Renewable Energy
Restaurants
Restoration & Environmental Cleaning
Retail
Retirement
River Trips
RV Parks
Schools
Security-Locksmith
Senior Care / Assisted Living
Service/Repair
Sharpening Service
Shopping
Signs
Ski Resort
Staffing/Recruiting
State Parks
Tattoo Shop
Television / Phone / Internet Services
Tours / Transportation
Trash / Waste / Recycling Services
Travel
Trophies / Award Engraving
Truck / Trailer Rental
Utilities
Veterinary Services
Vineyard & Winery Management
VRBO
Water - Bottled & Delivery
Website Design
Weddings
Welcome Centers
Welding & Fabricaation
Window & Door Replacement
Wineries
Please select a directory category.
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
*
Please add your cell phone number.
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
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
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
Ghana
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
South Sudan
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
Youtube
Instagram
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
*
Please add your cell phone number.
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
Bolivarian Republic of Venezuela
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
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
Ghana
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
South Sudan
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
Youtube
Instagram
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
Landmark
$
5,000
annually
Switch to monthly autopay?
Recognized Partner on Chamber Website Homepage Unlimited Social Media Recognition Posts Ten (10) 12 Punch Cards to Business After Hours ($500 value) Unlimited Newsletter Inserts Recognition at Annual Banquet Listing/Logo in Annual Banquet Program Table of 10 to Annual Banquet ($850 value) Ten (10) Directory Category Listings
Enterprise
$
2,500
annually
Switch to monthly autopay?
Recognized Partner on Chamber Website Homepage Six (6) Social Media Posts Eight (8) 12 Punch Cards to Business After Hours ($400 value) Twelve (12) Newsletter Inserts Recognition at Annual Banquet (6) Six Tickets to Annual Banquet ($510 value) Listing/Logo in Annual Banquet Program Eight (8) Directory Category Listings
Partner
$
1,500
annually
Switch to monthly autopay?
Four (4) Social Media Recognition Posts Five (5) 12 Punch Cards to Business After Hours ($250 value) Eight (8) Newsletter Inserts Listing with Logo in Annual Banquet Program Four (4) Tickets to Annual Banquet ($340 value) Five (5) Directory Category Listings
Business
$
550
annually
Switch to monthly autopay?
Enhanced business listing on the Chamber website Use of Chamber office printing station Two (2) category listings in the online directory One (1) 12 Punch Pass to Business After Hours ($50 value) Upon request: – 1 Newsletter Advertisement – 2 Social Media Posts
Entrepreneur
$
225
annually
Switch to monthly autopay?
Designed with Solopreneurs in mind (typically with 1 or 0 staff) Eligible to serve on Chamber Committees First Priority for Sponsorship Marketing Opportunities Eligible to Bid on Chamber Contracts
Non-Profit Membership
$
145
Palisade Chamber of Commerce supports fellow non-profit organizations by offering a special Chamber membership rate for all 501c3 non-profit organizations. This membership includes all foundational benefits of basic Chamber membership listed above. ***Non-profit membership is only available to volunteer run organizations with no paid employees
Fruita Joint Non-Profit
$
140
annually
Switch to monthly autopay?
Fruita Joint Membership
$
400
Join both Fruita and Palisade Chambers for a combined rate for your first year of membership.
Student Entrepreneur Membership
$
100
Affiliate Business Membership
$
170
annually
Switch to monthly autopay?
Additional Options:
Business After Hours
$50 one time
12 Punch card
Comments/Questions
Payment Option
Charge my credit or debit card
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