PACC - Member

You already know that a chamber of commerce is the face of the business community - the organization that needs to look out for all of those things that deter and detract business owners from being successful, such as anti-business legislation, cumbersome regulations, even a sluggish economy. The PACC puts local businesses in touch with the faces and places that can make an important difference in their future! It is not just a membership, but a partnership, to give your organization the tools to thrive and be successful! Please complete the following to help us get started on your application. A staff member will follow up to complete payment options.

Business Information

Company Name: *

Phone: *

Website:

Email: *

Business Description (200 char max):

Business Category: *

Employees: *

Full-time Part-time

Business Keywords:

Keyword 1 Keyword 2 Keyword 3 Keyword 4 Keyword 5 Keyword 6 Keyword 7 Keyword 8

Comments / Questions:

How Were You Referred?:

Hours of Operations: *

Facebook:

Twitter:

LinkedIn:

YouTube:

Do you have a preference on attending events?:

What is your main objective in joining the PACC?:

Would you like to offer a Member to Member Discount to other PACC members? :

Physical Address

Line 1: *

Line 2:

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State / Province:

ZIP / Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Address

Same as Company Address

Line 1:

Line 2

City:

State / Province:

Zip / Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Phone:

Email:

Contact Preference:

Email Phone

Address

Same as Company Address

Line 1:

Line 2

City:

State / Province:

ZIP / Postal Code:

Country:

Membership Options

Membership Package: *

Membership Brochure & Fee Schedule: See fee schedule to determine the fee.
Wondering which membership level is right for your organization? This will help you choose the a membership package based on the services, involvement and investment. Basic : $190.00
Classic: $290.00
Classic PLUS: $340.00
Select: $550.00
Premiere : $750.00

Payment Option:

Bill me

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 3 plus 9?: *

Print Application

Member Application

Physical Address

Mailing Address

Address

Address