Member

Business Information

Company Name: *

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Phone: *

Website: *

Email: *

Business Description (200 char max): *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Membership: See fee schedule to determine the fee and enter it below.
Fee Schedule If using fee schedule, enter fee here:

Additional Opportunities:

We will contact you with additional information.

Illinois State Chamber of Commerce Membership : $150.00
One Year Membership with the Illinois State Chamber of Commerce. Must be a Des Plaines Chamber Member to receive the discounted rate. Membership Plus : $100.00
Market your business further with Membership Plus. You receive 2 Eblasts, a Mailing List, Extra Category and Highlighted in the Newsletter and the Community Guide. the cost is $100.00. Total Package Value is $550.00

Payment Option:

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Member Application

Mailing Address

Address