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?