Business Information Update 2021

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 *

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

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?
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