Washburn Area Chamber of Commerce Membership Application Form
Questions? Contact us at: (715) 373-5017 • info@washburnchamber.com
Contact Name *
Your answer
Contact Person's Phone Number *
Your answer
Contact Person's Email Address *
Your answer
Business Name *
Your answer
Business Main Phone *
Your answer
Physical Location: Street Address *
Your answer
Physical Location: City *
Your answer
Physical Location: State Abbreviation *
Your answer
Mailing Address: Street Address or PO Box *
Your answer
Mailing Address: City *
Your answer
Mailing Address: State Abbreviation *
Your answer
Mailing Address: Zip Code *
Your answer
Website URL (include http://) *
If you don't have a website, we can offer you a dedicated page on our website. Type "None" if you don't have a website.
Your answer
Enter all email addresses to add to the Chamber Newsletter List *
You can add staff emails, or any other business emails you wish to have the newsletter sent.
Your answer
Information you'd like posted on our website to promote your business: *
We will use this information in future brochures, advertising, social media and on the chamber's website. We may edit down this text based on our needs.
Your answer
Please choose 1-3 of the following categories in which to place your business. *
If there isn't a match, chose the closest related industry or type your catagory in the "other" box and we will decide where best to place you.
Required
Membership Catagory | Payments accepted: check and credit card. *
For-Profit Business must include owners when counting employees. Two part-time employees equal one full-time employee.
Send 1-3 images or logo to represent your business to: info@washburnchamber.com *
Files must be .JPG or .PNG and must have one side a minimum of 400 pixels. Maximum size is 1200x1200 pixels.
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