Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website: *

Email: *

Business Description (750 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Business License Obtained (if Park Ridge Business): *

Referred By: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook MySpace Twitter Ryze Bebo MEETin Digg reddit

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Additional Fees:

One-Time Processing fee : $35.00
$35 charge for processing of new application.

Additional Opportunities:

We will contact you with additional information.

Platinum Level Membership : $400.00
~Access to networking events including: Business After Business, Networking on Tap, Women in Business, Ribbon Cuttings, Food for Thought lunch & learn sessions, Industry specific meetings, Park Ridge Executive Network Groups ~Advocacy: representation at city meetings and with local, state and federal leaders ~Social media marketing ~Member promotion opportunity in weekly Chamber E-Newsletter (Member submits jpeg or png) ~Early access to special events sponsorship opportunities ~Business listing in online directory ~Community Resource Guide listing: Platinum (3) / Classic (2) ~Enhanced business listing in Community Resource Guide ~Enhanced listing on Chamber website ~Special signage recognition at Chamber events ~Discount for Canopies on Courtland Business ~Expo booth during Taste of Park Ridge ~Exclusive dedicated e-blast (one per year)

Payment Option:

Bill me Charge my credit or debit card

Member Application

Mailing Address

Address

Address