Join The Chamber

Person to receive Chamber communications

Name

Prefix First Last Suffix

Email

Billing Contact

Title

Name

Prefix First Last Suffix

Corporate Billing Address

Street Address City State / Province / Region ZIP / Postal Code

Additional Information

Business Category for Directory

Additional Business Category for Directory

I was referred by

I would like to take advantage of the following Chamber opportunities

Free Ribbon Cutting
Meet with Membership Director to learn more about how to use my benefits
Meet with Sales Director to discuss sponsorships and advertising opportunities

My expectations in Chamber membership are

Delta Dental Insurance
Community Through Involvement
Professional Development/Training
Promotion/Advertising
Sponsorship Corporate Branding

Payment

One-Time Application Fee*

Price:

Business Categories for Membership*

Banks, Savings & Loans, Credit Unions
Hospitals, Health Care Facilities
Hotels, Motels, Apartments
Home Businesses, Non-profits and Downline Businesses (ex: Avon, Scentsy)
Agents of Member Brokers: Realtors
Professionals: Doctors, Lawyers, Accountants
Individual or Retired Members
Utilities
These special categories do not apply to my company or organization

Because you have chosen this Special Category for membership, your annual investment is dependent upon certain information. You may continue to fill out this membership application and we will contact you, once submitted, as to your specific annual investment. You may also contact Peg Wilson at pwilson@bartlesville.com to discuss your membership application.

Number of Beds ($3/bed)*

Price: $3.00

Number of Rooms ($2/room)*

Price: $2.00

Number of Partners ($150/partner)*

Price: $150.00

Annual Investment*

*Based on local full-time equivalent employment. Two part-time employees equal one full-time employee.

Each additional 25 employees beyond 150

Price: $125.00

A quantity of 1 equals 25 additional employees.

Total (One-time Application fee + Membership dues)

$0.00

Electronic Signature

I understand the investment amount is due with this application and subsequent annual investments will be payable on this anniversary. The Chamber may depend on my annual investment until I terminate or modify this agreement in writing. I also understand that my membership is not effective until approved by the Chamber Board of Directors.

Billing Name

First Last

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Email

Credit Card

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Membership Application

Company Information

Person to receive Chamber communications

Billing Contact

Additional Information

Payment