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Membership Application

Congratulations, you have taken the first steps
towards a valuable investment in your business.
Please fill out the fields below and submit your application.

A Chamber representative will contact you to finalize
your membership application and go over any details. 954.462.6000 x 8747


Company/DBA Name:
Contact Name/Title #1:
Contact Email #1:
Contact Name/Title #2:
Contact Email #2:
Company Address:
City | State | Zip: ||
Phone: ()-
Fax: ()-
Company Email:
Preferred method of communication:
Number of Full-Time Employees:
Number of Part-Time Employees
Membership Directory Business Category
Business Category Description
(one sentence)
Billing Contact Name:
Billing Contact Email Address:
How soon do you want to join?

Programs of interest:

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

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

Sponsor A Program

Quarterly Breakfast

Biz Perks

Monthly Luncheons

Business Afterhours

Annual Meeting Luncheon
Downtowner of the Year Luncheon
Chamber Golf Tournament
Small Business Awards Breakfast
Perspective's In Florida's Healthcare Summit Artopia
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
Uptown Business Council

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

Are you interested in offering a
discount on your products/services
to fellow members?

What is your main reason for wanting to join our Chamber?
How did you hear about the Chamber?
If Google search, what topic?
If a friend, who do we thank for your referral?
If other, how did you hear about us?

Membership Investment Schedule

General Business:
Your membership investment varies based on the size of your business and number of employees. There are special rates for nonprofit organizations. Please contact the Membership Director at
954 462 7498 or email Jill Horowitz at for a quote.

Minimum Investment $3,100

Chairman's Circle:
Minimum Investment $10,000

Questions for the Membership Department