Plum Chamber of Commerce
Membership Application Form

Instructions
You can now complete your membership application via this form.

Please complete the Membership Application below and press SUBMIT to complete your application. Please mail your membership fees to the Plum Chamber office or call with credit card payment. Your membership will be approved once payment is received.

Organization Information
*Full Business/Organzation Name
*Primary Contact (full name)
Title
Mailing Address
City StateZip
*Telephone
Fax
*E-mail
*Web Site
Number of Employees

Additional Contacts
Enter full name and title(s)
(separate by commas)
Business Description
(for web site)

Business Category
    Please choose the business category that best represents your business.
Business Category

General Information
Member-to-Member Discount Program
Are you interested in offering a discount to other chamber members?
Please explain your discount below. This description will be used AS IS for the web site member to member discount page.

Whom were you referred by?


PRIMARY INTERESTS. Check all that apply.

Networking
Educational
Committee Involvement
Advertising
Member to Member Discounts
Chamber Insurance
Other

Process my membership: