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Member Application
Welcome to the Mt. Adams Chamber of Commerce membership application portal.
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
*
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Email
*
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Physical Address
Address line 1
*
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Address line 2
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Afghanistan
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Brazil
British Virgin Islands
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Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
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Ecuador
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El Salvador
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Norway
Oman
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Panama
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Peru
Philippines
Poland
Portugal
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Réunion
Romania
Russia
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Saudi Arabia
Senegal
Serbia
Singapore
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Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
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World
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Yukon
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State
*
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Postal Code
*
Please add your Postal Code.
Social Network Addresses
LinkedIn
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Step 2:
Additional Info
Business Description (200 char max)
*
Please add your company description.
Business Keywords
(enter a space between words)
Directory Category
Choose...
Accountants
Advertising/Promotions
Agriculture
Antiques/Estate Sales/Consignments
Apartments
Architectural Design & Building
Art Galleries
Arts & Crafts
Assisted Living
Attorneys
Automotive
Banks & Credit Unions
Bars & Pubs
Beauty Salons/Spas
Books & Stationery
Cafés / Bakeries / Ice Cream Shops
Camping
Car Rentals
Carpets & Interiors
Catering
Childcare
Children & Family Entertainment
Childrens Clothing/Toys
Chiropractors
Churches
Cleaning Services
Clothing/Shoes
Community Member
Community Organizations
Computer Service/Sales
Construction Management
Consultants
Contractors
Counseling
Country Clubs
Dance
Dental
Distilleries
Drug & Variety Stores
Dry Cleaners
Education
Educational Resources
Elected Officials
Engineering
Event Planning
Event Space
Farms / Farm Products
Financial & Investment Services
Fishing
Fitness
Florists
Forestry
Funeral & Cremation Services
Gas Station
Gifts & Specialty Items
Government
Graphic Design
Grocery Stores
Hardware
Holistic Health
Home Furnishings
Hospitals & Clinics
Hotels/Motels
Human Resource Services
Insurance
Interior Design
Jewelry
Landscaping
Legal Services
Liquor Store
Mail Services/Shipping
Manufacturing & Production
Marine Charters, Sales & Service
Marketing
Massage Therapy
Medical Supply
Medical, Dental & Nursing Care
Mortgage Banking
Museums
Music
Office Furniture & Supplies
Optical Services
Outdoor Recreation
Performance Venues
Personal Services
Pets
Photographers/Photo Finishing/Framing
Plumbing
Press/Publications/Radio
Printing & Typesetting Services
Property Leasing & Management
Public Relations
Real Estate Services
Resorts
Restaurants
Security Services
Sewing & Crafts
Shopping Centers
Signs & Banners
Specialty Dining / Food Items
Sporting Goods & Venues
Storage
Tax Preparation
Taxi
Telecommunications
Title Services
Tour Guide Shuttle Service
Utilities
Veterinarians
White Water Rafting & Kayaking
Wineries
Full-time Employees
*
Please add your number of full-time employees.
Part-time Employees
*
Please add your number of part-time employees.
Reason for Joining the Chamber
*
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Advertising & Marketing
Education
Networking
Political Advocacy
Web Presence
Other
Looks good!
Would you like to serve on a committee?
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Ambassador
Economic/Business Development
Events
Sustainability/Strategic Visioning
Tourism/Marketing
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
Fax
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
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
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
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
Fax
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
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
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
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
Tier 1 - One Owner/Individual
$
65
Single proprietor business with no staff or an individual citizen.
Tier 2 - Non Profit
$
85
Non Profit / Association Entities
Tier 3 - (1-4 FTE)
$
150
1 to 4 Full Time Equivalency employee count
Tier 4 - (5-10 FTE)
$
300
5 to 10 Full Time Equivalency Employee Count
Tier 5 (11-20 FTE)
$
450
11 to 20 Full Time Equivalency Employee Count
Tier 6 (21-50 FTE)
$
625
21 to 50 Full Time Equivalency Employee Count
Tier 7 (51-80 FTE)
$
750
51 to 80 Full Time Equivalency Employee Count
Tier 8 (81+ FTE)
$
850
81 and more Full Time Equivalency Employee Count
Additional Options:
Priority Placement on Business Category Page on Website
Priority placement of your listing gets your business seen first in a prominent location on the Business Category Page of the website.
Multiple Business Directory Category Listings on Website
Be visible to more people by utilizing Multiple Business Directory Category Listings on the website. Each additional category listing is $50 annually.
Hot Deal posted on website
Promote your Hot Deal on the website for one calendar month.
Keywords on website
Use Keywords to enhance the traffic flow to your listing for $50 per level upgrade.
Email Blast
Utilize our growing network list to promote your event, hot deal, new menu or whatever you choose. One email blast will be completed for you for $150
Comments/Questions
Payment Option
Bill Me
Please complete the Captcha
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