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Join the Chamber


Congratulations! You are taking 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 and go over any details. If you prefer to pay membership dues by check, or if you have any questions, please call 954.462.6000 or email info@ftlchamber.com.

 

MEMBERSHIP APPLICATION


Company Name:
Primary Contact First Name:
Primary Contact Last Name:
Primary Contact Email:
Primary Contact Title:
Secondary Contact First Name:
Secondary Contact Last Name:
Secondary Contact Email:
Secondary Contact Title:
Company Address:
City:
State:
Zip:
Phone (xxx-xxx-xxxx):
Website:
Preferred method of communication:
Billing Contact Name:
Billing Contact Email Address:

Programs of interest (or need information about):

 Leadership Fort Lauderdale
 Volunteer Program (diplomats)
 Sponsorship Program (events)
 iConnect (international businesses)
 Advertising (display ads)
 Discount Partnership Program

Sponsor a Program:

 Chamber Breakfast
 Biz Perks
 Business Afterhours
 Monthly Luncheons
 Annual Meeting Luncheon
 Artopia
 Downtowner of the Year Luncheon
 Perspective's On Florida's Healthcare Summit
 Salute to Business Awards
 Sawgrass Awards Luncheon
 Small Business Awards Breakfast
Are you interested in offering a discount on your products/services to fellow members?
 Yes
 No

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

 Beach Council
 Downtown Council
 Gay & Lesbian Business Exchange (GLBX)
 Greater West Broward Business Council
 Oakland Park/Wilton Manors/Uptown Business Council
 Women's Council

Whom did you work with to become a member?
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:

Your membership investment varies based on the size of business and number of employees. For more information, please email Mike Cobelo at mike@ftlchamber.com.


Questions for the Membership Department


Member Level
User ID
Password
Primary Business Category
Business Category Description (one sentence):
E-Directory Upgrade (add three additional business categories for $150)
Additional Business Category
Additional Business Category
Additional Business Category
iConnect Directory (add $50)
Coupon Code
addon_skus
 E_Directory_Upgrade
 iConnect_Directory
 Emergency Fund
 Minority Business
application fee
 Application Fee
Total Payment: $0.00

** A $35 application fee will be added to all memberships


All personal information is kept confidential. We do not distribute e-mail, name, address, or other personal information to other parties.


Billing Information


Address
City
State
Zip
Payment Method
Card Type
Card Owners Name
Card Number
CVV
Expiration Date