Member - Greater Bellevue Area Chamber of Commerce, NE

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Member Application

Welcome to the Greater Bellevue Area Chamber of Commerce, we look forward to working with you and your business/organization. Lets get you started filling out the following application

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

Phone *
Please add your company phone number.

Website

Email *
Please add a valid email.

Physical Address

Address line 1 *
Please add your address.

Address line 2

City *
Please add your City.

State *
Please add your MN.

Postal Code *
Please add your Postal Code.

Country *
Please add your country.

Mailing Address

Same as physical address

Address line 1

Address line 2

City

State

Postal Code

Country

Step 2:

Additional Info

Business Description (200 char max) *
Please add your company description.

Business Keywords * (enter a space between words)
Please add your business keywords.

Directory Category

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1 *
Please add your address.

Address line 2

City *
Please add your City.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Country *
Please add your country.

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Title

Phone *
Please add your phone number.

Cell Phone

Fax

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1 *
Please add your address.

Address line 2

City *
Please add your City.

State *
Please add your MN.

Postal Code *
Please add your Postal Code.

Country *
Please add your country.

Social Network Addresses

LinkedIn

Facebook

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Business with 1-2 FTE's $ 255

Business with 3-4 FTE's $ 285

Business with 5-7 FTE's $ 315

Business with 8-10 FTE's $ 350

Business with 11-15 FTE's $ 400

Business with 16-20 FTE's $ 490

Business with 21+ FTE $ 515

Non-Profit or Charitable Organization with 0-5 FTE's $ 150

Non-Profit or Charitable Organization with 6-49 FTE's $ 225

Non-Profit or Charitable Organization with 50-99 FTE's $ 410

Non-Profit or Charitable Organization with 100+ FTE's $ 735

Additional Options:

Cornerstone Investment 1-2 FTE $65 one time
This is a voluntary donation to be used for economic development.

Cornerstone Investment 3-4 FTE $70 one time
This is a voluntary donation to be used for economic development.

Cornerstone Investment 5-7 FTE $75 one time
This is a voluntary donation to be used for economic development.

Cornerstone Investment 8-10 FTE $85 one time
This is a voluntary donation to be used for economic development.

Cornerstone Investment 11-15 FTE $100 one time
This is a voluntary donation to be used for economic development.

Cornerstone Investment 16-20 FTE $125 one time
This is a voluntary donation to be used for economic development.

Cornerstone Investment 21+ FTE $130 one time
This is a voluntary donation to be used for economic development.

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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