Member

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees:

Full-time Part-time

Comments / Questions:

How did you hear about the Ybor Chamber?: *

Why did you join the Ybor Chamber?: *

EIN :

Veteran Owned Business:

Event Space:

Event Space for how many?:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Trustee Circle: $10,000.00
Founders Circle: $5,000.00
Platinum: $2,500.00
Gold: $1,250.00
Silver: $750.00
Business: $300.00
Sole Proprietor: $250.00
Owner only - no employees Non-Profit Organization: $200.00
For 501 c3 organizations

Additional Opportunities:

We will contact you with additional information.

Enhanced Website Listing - Annually : $120.00
Increase you visibility on your chamber website listing with a host of special features including logo display, photo gallery, video, and expanded business description field to 1600 characters.

Payment Option:

Charge my credit or debit card

Member Application

Mailing Address

Address