Member - New 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?: *

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

Membership Package: *

Calculate your dues!: See fee schedule to determine the fee and enter it below.
If using fee schedule, enter fee here:

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address