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Business Information Update 2021
Please take a moment to update your business information. If you don't have a log-in to your portal please complete this form.
Business Name
*
Please provide the name of your business how you want it listed in our directory.
Number of Employees (full time equivalent-FTEs)
*
Please include FT & PT employees (i.e. FT/PT).
Website
Please provide your business's or organization's website as it will be listed in our directory.
Public Phone Number
*
Please provide the best number for the public to reach your company.
Physical Address
The location of your business.
Address Line 1
*
Address Line 2
City
*
State
*
Select option...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DC
Zip/Postal Code
*
Billing Address
If invoices are to be sent elsewhere besides the physical location please let us know.
Address Line 1
Address Line 2
City
State
Select option...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DC
Zip/Postal Code
Main Contact
Who should the Chamber be communicating with about Chamber benefits & opportunities?
First Name
*
Last Name
*
Main Contact's Phone Number
Please provide the best number to reach your contact. This number will NOT be distributed.
Main Contact Email
*
Please provide an email for the Main Contact.
Portal Log-in Requested
Yes, I need a log-in link
No thank you, I have one
If you'd like a way to update your info online at any time during the year please let us know.
Billing Contact
If the person who receives the invoices is different from the Contact above please provide the billing info.
First Name
Last Name
Billing Contact's Email
Please provide an email if you wish to receive billing correspondence electronically.
Preferred Method of Communication
*
Electronic
Mail
Are you minority owned business? If so, how do you identify?
Veteran owned
Women owned
Minority Race
LBGTQ+
What are the three biggest needs for your business in 2021?
Business & Professional Services
Financial, Legal & Insurance Services
Government, Education & Organizations
Health
Personal Services & Care
Residential & Commercial Building Services
Restaurants & Catering
Shopping
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