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Member Application

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your MN.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

City *

Please add your City.

State *

Please add your MN.

Postal Code *

Please add your Postal Code.

Country *

Please add your country.

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Directory Category

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

City

State

Postal Code

Country

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1

Address line 2

City

State

Postal Code

Country

Step 5:

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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© 2020 Greater Keene Chamber of Commerce | Site by GrowthZone

Get In Touch!

(603) 352-1303

48 Central Square • Keene, NH • 03431

info@keenechamber.com

Accessibility Statement

Stay Connected!

The Chamber office is staffed from 10:00 am to 4:00 pm M-F. We kindly request that you call before visiting or send an email to info@keenechamber.com.

Special thanks to Ken Hathaway, Scott Hussey and Dan Most for providing photos for this website!

© Greater Keene Chamber of Commerce. All Rights Reserved | Site by GrowthZone

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