About the Chamber

Membership Application

Company Name
 
Primary Contact
First Name
Last Name
Title
 
Physical Address
Address 1
Address 2
City
State
Zip+4   
County
Country
 
Email
Web Site
Daytime Phone + Extension
Fax
 
Billing Address (if different from physical location)
Address 1
Address 2
City
State
Zip+4   
 
How did you hear about the Frederick Chamber?
 
What is your main reason for joining the Frederick Chamber?
 
Number of employees within 45-mile radius of Frederick County
Full Time
Part Time
 
Referred by (name, company)
Type of Business
Billing Cycle
 
Membership Investment Levels
(Based on your number of Full-time Employees)
 
One-time Administration Fee: $ 30.00
 
Please charge my:
 Credit Card Number                 
Name On Card
Security Code
(3-digit code on back of card)
Valid Through
Credit Card Address 1
Credit Card Address 2
Credit Card City
Credit Card State
Credit Card Zip
Credit Card ZipExt
Credit Card Phone Number
Credit Card Country
   
Please click submit only one time.  The transaction may take several seconds.

 

Once your membership is approved, we'll send your login information so you may add employee representatives and set communication preferences. You'll also be able to create your directory listing, including a company description, category, and keywords.