Membership Form

Business Name *

Business Category * Select OneAccountantsAdvertising & MediaAnimal Care & ServicesArts, Culture & EntertainmentAutoAutomotive, Marine & Off-Highway Rec. VehiclesBakery & Coffee ShopBanksBike RepairCampingCasual Dining & Fast FoodChildcareCommercial & Industrial SupplierCommunity MemberComputers & Computer ServiceComputers & TelecommunicationsConstructionConstruction Contractors & EquipmentDentalDinerElderly CareEstate AuctionsFamily, Community & Civic OrganizationsFarm StandFarm to TableFinance & InsuranceFuneral & Cremation ServicesGrocery StoresHealth CareHome BuildersHome RepairsHouse of WorshipInformation TechnologyInsuranceInvestments & Wealth ManagementJustice of the PeaceLandscape and Property Maintenance ServicesLegalManufacturing, Production & WholesaleMarine VesselsMarketing AgencyMedicalMensMoving and StorageMuseumNewspaperNon-ProfitsNotary PublicOHRVOHRVOtherOther SpecialtyOther SpecialtyPersonal Services & CarePetsittingPrinting ServiceProfessional ServicesPub & DiningPublisherReal Estate SalesReal Estate: Sales and Professional ServicesRecreationalRestaurantsShopping & Specialty RetailSocial ServicesSpecial NeedsSpecialty Gifts & Unique ItemsSporting GoodsTailorTelecommunicationsTransportationUtilitiesVeterinaryWomens

Billing Address *

City *

State/Province *

Zip/Postal Code *

Country *

Email *

Phone Number *

Use this billing address as my business address.

First Name *

Last Name *

User Name *

Password *

Membership Level *Community Member: $35Micro Business: $99Small Business: $250Mid-Size Business: $350Large Business: $450Corporate Business: $600Micro Non-Profit: $99Small Non-Profit: $225Mid-Size Non-Profit: $315Large Non-Profit: $405Corporate Non-Profit: $540

Processing Fee

Total Due:

Automatic Renewal:  Yes, automatically renew my membership thru Paypal.
 No, I prefer to receive an invoice annually.

Payment Method:  PayPal
 Check

Terms & Conditions Statement: Data submitted through this form will be used for the purpose of creating your directory listing. Please see our Privacy Policy for more information on how we protect and manage your data.

I consent to having Hillsborough Chamber of Commerce collect my data via this form.