Title

Member Application

Welcome! Thank you for your interest in the Beaumont Chamber of Commerce. We can't wait to help you.
Business Information

Company Name: *

Phone: *

Directory Category:

Employees:

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

Province: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

Province:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

Province:

Postal Code:

Country:

Membership Options

Membership Package: *

Member (Annual): $135.00
This fee is for the annual membership which includes access to the online profile and mobile app.

Payment Option:

Charge my credit or debit card

In the effort to fight spam, please provide the answer to the following question.
What is the sum of 9 plus 9?: *

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