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Membership Application

The rates checked by applicant are subject to verification by the Chamber.

MEMBERSHIP APPLICATION

Company/DBA Name:
Contact Name/Title #1:
Contact Name/Title #2:
Address:
City | State | Zip: ||
Phone: ()-
Fax: ()-
Website:
Email:
Preferred method of communication:
Number of Full-Time Employees:
Number of Part-Time Employees
Membership Directory Business Category
Business Category Description
(
one sentence)

Programs of interest (or need information about):

Leadership Fort Lauderdale
Senior Executive Orientation
Volunteer Program (diplomats)
Sponsorship Program (events)

iConnect (international businesses)
Advertising (display ads)
Discount Partnership Program

Sponsorship programs

Quarterly Breakfast

Biz Perks

Monthly Luncheons

Business Afterhours

Annual Meeting
Downtowner of the Year Award
Chamber Golf Tournament
Small Business Awards
Women's Circle of Excellence
Jazz in the Hall
Salute to Business Awards

If you would like to participate in an Area Council,
please check box below.
More than one may be selected.

Beach Council
Downtown Council
Oaklnad Park / Wilton Manors

Women's Council of Commerce
Weston Business Council
Gay & Lesbian Business Council (GLBX)

Are you interested in offering a
discount on your products/services
to fellow members?
Yes
No

Can you recommend a business
partner or associate who would
benefit from a Chamber
membership?
Please include name, address
and phone number.

Membership Investment Schedule

General Business:
Your membership investment varies based on the size of business,number of employees, and various other factors. Please contact the Membership Department at
954 462 6000 for a quote.

Trustees:
Minimum Investment $2,900


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