Sunday, February 05, 2012
 
Welcome and thank you for your interest in the San Diego East County Chamber of Commerce.
 

Member Application:

* Company Name:  
* Phone:  
Website:
* Email:
* Business Description (200 char max)
* Business Keywords:
 
* Physical Address:  
* City/State/Zip:  
Country:
 
Mailing Address: Same as physical address
City/State/Zip:
Country:
 
Business Category:
Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
 
Address: Same as Company Address
City/State/Zip:
Country:
 
 

Billing Contact Information:

Same as Primary Contact
* Name (First / Last):  /   
Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
 
Address: Same as Company Address
City/State/Zip:
Country:
 
 
Membership Package:
Membership Fees : See fee schedule to determine the fee and enter it below.
$335 base rate, plus $5 per full-time employee. If you have no full time employees, then just select the Membership fee circle. If you have full time employees, please be sure to enter the sum of $335.00 plus your number of full time employees times $5.00 into the box below.  For example, if you have 2 full time employees, the total to enter into the box would be $345.00

        If using fee schedule, enter fee here:

Payment Option:
Bill me
Charge my credit card
 
 
Submit Application:
Enter the CAPTCHA words, then press the Submit Application button.
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