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Member Application

Hi there! We here at the Apple Valley Chamber are excited to have you as part of our business community, and we hope you are too. Signing up is easy: simply fill out this online form and your New Member Packet will be on it's way in no time. WHILE SELECTING YOUR MEMBERSHIP PACKAGE: if your business falls under one of the categories, please select that category. If not, annual dues are calculated based on the number of full-time employees (2 part-time employees = 1 full-time employee). If you have any questions when filling out the form, feel free to call us at (952) 432-8422. We are here to help!

Step 1:

Member Info
Please add your company name.
Please add your company phone number.
Please add your company website.
Please add a valid email.
Physical Address
Please add your address.
Please add your country.
Please add your City.
Please add your State.
Please add your Postal Code.
Mailing Address
Social Network Addresses

Step 2:

Additional Info
Please select a directory category.
Please add your number of full-time employees.
Please add your number of part-time employees.

Step 3:

Primary Contact
Please add your first name.
Please add your last name.
Please add your title.
Please add your phone number.
Please add a valid email.

Contact Preference

Create Account
Please add your login password.

Step 4:

Billing Contact
Please add your first name.
Please add your last name.
Please add your title.
Please add your phone number.
Please add a valid email.

Contact Preference

Create Account
Please add your login password.

Step 5:

Membership Package
Please select a Membership Package
Payment Option
Please complete the Captcha