Member Application

Thank you for taking the time to complete your Membership application for the Tompkins County Chamber of Commerce! This is merely the first step in establishing your relationship with the Chamber and your business community. Call us at 607-273-7080 ext 221 for more information. Thank you!

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Reason for Joining: *

How did you hear about us?: *

Preferred Name: *

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: *

Phone: *

Email: *

Contact Preference:

Email Phone

Password: *

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Password: *

Membership Options

Payment Option:

Bill me

Print Application