JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2024 Chamber Member Application
Please fill this form out thoroughly so we can best serve you as a member of the Okemah Chamber of Commerce for the 2024 membership year.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Contact Name
*
Your answer
Business Name
Your answer
Business Address
Your answer
Mailing Address
Your answer
Email Address
*
Your answer
Cell Phone
Your answer
Office Phone
Your answer
Website
Your answer
Membership & Dues
*
Choose
Each Additional Business - $50
Friend of Okemah - $1-$50
Medallion - $75
Bronze - $150
Silver - $250
Gold - $500
Platinum - $1000
Corporate - $5000
The Chamber is an all-volunteer organization and we are always looking for civic-civic minded leaders to serve on committees throughout the community. Please indicate a committee(s) that you, or an employee would be interested in helping with!
Pioneer Day
Christmas Program
Special Events
Lt Gov. Turkey Hunt
Economic Development
What is your business known for or what do you want to be known for? For example best loaded fried, best pulled pork best customer service...try to make it be as specific to your business as possible and if you need help choosing we can help:)
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Okemah Chamber of Commerce.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
