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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