St. Charles Chamber of Commerce

Welcome!

Fill out the form below, and we'll follow through to process your membership application.

And thanks for joining us in building a great community!

Number of Employees = annual rate of:

Note: 2 part-time employees = 1 full-time employee

Note: Please call the St. Charles Chamber of Commerce for special nonprofit organization investment amounts.

$20 Administrative Fee

Method of Payment:

Visa and MasterCard ONLY for Credit Card Payments

Credit Card Number:

Expiration Date:

Total Due:

Your membership is good for one full year. You will be invoiced at the end of this year for the remainder of the upcoming year. If you have any questions, please call the Chamber office, 636-946-0633

Business Name:
Type of Business:
Number of Full-Time Employees:
Number of Part-Time Employees:
Referred By:
Mailing Address:

City, State, Zip:
Physical Address (if different):

City, State, Zip:
Billing Address (if different):

City, State, Zip:
Phone:
Fax:
Web Site Address:
E-Mail Address:
Representative:
Title:
Who else in your organization should receive our mailings?
Why are you joining?
What are your expectations?
Committee(s) you would like to serve on? (optional)	Economic Development / Transportation Education Governmental Concerns Health Special Events Telecommunications / Technology Networking Club
As a new Chamber member, is there a business you would recommend we could contact for membership?
Business Name:
Contact:
Phone:
I verify the information provided is accurate to the best of my knowledge.
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