Alpena Chamber Membership Application

Business Name - As it is to appear in Membership Listing(*)

Main Contact (*)

Title

Main Contact E-mail (*)

Number of Full Time Employees

Number of Part Time Employees

Business Phone

Address

Mailing Address - If different from above

Website

Category or Categories of Business - See https://alpenachamber.com/member-directory for a complete listing

Additional Contact Name and Title

Additional Contact Email

Additional Contact Name and Title

Additional Contact Email

Additional Contact Name and Title

Additional Contact Email

Membership Investment - View Membership Benefits (*) Membership Investment - View Membership Benefits (*) Business Level - $250 Sponsor Level - $500 Partner Level - $1,600 Leader Level - $3,200-$4,999 Chairman Level - $5,000+

Payment Option (*) Payment Option (*) Cash Check Visa/MasterCard Invoice

After application is submitted and received you will be contacted regarding payment arrangements.