Apply for Membership The undersigned is applying to become a member of the Melrose Chamber of Commerce. General InformationCompany Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FaxEmail* Enter Email Confirm Email Website Total Number of Employees*Primary Contact InformationPrincipal Contact* First Last Title*Business DetailsType of Business*---Retail/RestaurantClub/Civic OrgImport/ExportService ProviderTechnologyManufacturerOtherBusiness Description*Please provide a brief description of your businessHow did you hear about the Chamber?We'd love to know!Chamber ReferralIf a current chamber member referred you, please let us know whoReasons for Application*What are your primary reasons for joining the Melrose Chamber of Commerce Gift Certificate Program Health Insurance Networking Opportunities Listing in the Directory Advertising Opportunities Support of Community Organizations Community Involvement Member-to-Member Discounts Staying informed on business and community issues Do you offer Chamber Members discounts? If yes, what is your discount? Annual Membership DuesMembership Dues*Select your type of business1 EmployeeBusiness: 2-10 EmployeesBusiness: 11+ EmployeesFinancial InstitutionHospitalUtility CompanyPersonal Member: Non-BusinessClub/Civic OrganizationOptional Add-OnsOptionalOptional Ad On: Membership Advantage Program - Advertising and Networking Package includes unlimited access for one person to monthly networking events and an enhanced directory listing on our website. Click the box below to add this, or leave it unchecked. Membership Advantage Program Payment Type*One time paymentAutomatic annual subscriptionAmount Due $0.00 NameThis field is for validation purposes and should be left unchanged.