Member Application
Welcome and Thank You for your interest in the Ascension Chamber of Commerce.
Business Information
Company Name:
*
Leave Blank:
Phone:
*
Website:
Email:
*
Business Description (200 char max):
*
Directory Category:
*
--- Select Primary Category ---
Accounting & Bookkeeping Service
Advertising
Advertising Agencies & Consultants
Advertising Specialties
Air Conditioning Equipment & Supplies
Alarm Systems-Home/Office
Amateur Radio Clubs
Ambulance Services
Amusement
Antiques
Apartments
Architecture
Art & Culture
Assisted Living
Attorneys
Auctioner
Audio Visual
Automobile Body Repair & Painting
Automobile Dealers-New & Used
Automobile Parts & Repair
Bakery
Banks
Banquet Facilities
Bar
Boilers
Building Materials
Business
Cable/T.V. Providers
Café
Cancer Treatment & Research
Candles
Car Washing & Waxing
Cardiology
Carpet & Floors
Caterers
Cemeteries/Memorial Parks
Chambers of Commerce
Charitable
Chemical Manufacturers
Chemical Sales & Services
Chiropractic
Churches
Cinema
Civil/Environmental Consulting Services
Cleaning Service - Commercial/ Residential
Clothing- Apparel
Coffee Service & Supplies
Colleges & Universities
Computer-Sales, Services, Programming
Computers-Repairs & Maintenance
Concrete Companies
Construction Companies
Consultants
Contractors-Commercial/Industrial
Contractors-Electrical & Instrumentation
Contractors-General
Contractors-Industrial Insulation
Contractors-Mechanical
Contractors-Residential
Contractors-Roofing
Convenience Store
Copier & Fax Sales, Service & Supplies
Cosmetics
Credit Unions
Dance
Day Care Centers
Dentist-Orthodontist
Dentists
Dermatology
Digital Marketing
Distributor
Educational Services
Electric Equipment & Supplies
Embroidery & Advertising Specialties
Employee Benefit Consultants
Employment Agencies & Consultants
Engineers
Entertainment
Environmental & Ecological Services
Equipment Sales & Rentals
Estate Planning
Events/Meeting Planning
Fence Building
Finance Companies
Financial Advisor
Financial Advisors Consultants & Planners
Fitness
Florists
Food
Funeral Homes/Mortuaries
Furniture
General Repairs
Gifts
Glass
Golf Courses/Supplies
Government
Graphic Designers
Hair Salons
Health Care
Health Clubs
Health Education/Wellness
Home Builders
Home Improvement
Hospitals
Hotels/Motels
Human Resource Services
Industrial Construction
Industrial Engineers
Industrial Equipment & Supplies
Industrial HSE Services
Industrial Inspections
Industrial Maintenance
Industrial Refrigeration
Industrial Repair
Information Technology
Instrumentation
Insurance
Interior Design
Internet Consulting/Development
Internet Service Provider
Investments
Janitorial Services & Supplies
Jewelers
Justice of the Peace
Lawn Care & Maintenance
Legal Services
Loans
Long-Term Care
Mailing/Postal Services
Manufactured Housing Dealership
Manufacturer
Marine Transport & Services
Marketing
Massage Therapy
Medical Clinics
Medical Equipment
Medical Spa
Mold Remediation
Mortgage Brokers
Mortgage Companies/Lenders
Moving & Storage
Multi Media Production
Music-Entertainment
Newspapers & Magazines
Non-Profit Organizations
Notary
Nursing Homes
Nutritional Supplements
Occupational Health and Safety
Occupational Therapy
Office Equipment & Supplies
Oil & Fuel Distributor
Oil Change and Maintenance
Optical
Packaging & Shipping
Paper & Paper Products
Party Rentals
Party Supplies
Party Supplies
Payroll Services
Pediatrics
Personnel Services
Pest Control
Pet Grooming
Petroleum Companies
Pharmacies
Photographers
Physical Therapists
Physicians & Surgeons
Pipe Fabrication
Pipe, Valves, Fittings
Port Authority
Prenatal Screening
Printing
Promotional Products
Quality Management Systems
Radio Stations
Real Estate
Realtors
Realtors
Recreation
Recycling Services
Rehabilitation Centers/Programs
Rental Services
Repairs
Residential Builders
Restaurants & Lounges
Restoration
Retail
Retirement Living/Community
Roofing Products
RV Park
Safety
Safety Supplies
Sales Training/Consulting
Schools
Seafood Markets & Processors
Sheet Metal
Shoes
Shopping Centers
Signs & Graphic Solutions
Smoothies
Social Worker
Spa
Specialty Gifts
Specialty Meats
Speech Therapy
Staffing Services
Steamship Agencies
Steel
Steel Fabrication
Stock Brokers
Storage
Surveillance
Surveyors, Equipment & Supplies
Swimming Pool Sales
Tattoo Parlor & Body Piercing
Taxi Service
Telecommunications
Telecommunications-Cable Installation
Title Companies
Toys & Baby Products
Training/Consulting
Transportation
Travel Agencies
Trichologist
Trophies & Awards
Trucking-Local & Long Distance
Uniform Sales-Retail & Wholesale
Utility Companies
Valves
Veterans Services
Video Games
Video/Television Production Services
Warehouses
Waste Disposal
Water Distributors
Web Design
Wedding & Receptions
Weld Testing & Training
Welding & Piping
Wireless Communication
Wrecker Services
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:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Mailing Address
Same as physical address
Line 1:
*
Line 2:
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Primary Contact Information
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Fax:
Email:
*
Contact Preference:
Email
Phone
Social Networking:
LinkedIn
Facebook
Instagram
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Afghanistan
Albania
Algeria
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Belgium
Belize
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Cambodia
Cameroon
Canada
Caribbean
Chile
China
Colombia
Congo (DRC)
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Czechia
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Faroe Islands
Finland
France
Georgia
Germany
Ghana
Greece
Greenland
Guatemala
Haiti
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea
Kuwait
Kyrgyzstan
Laos
Latin America
Latvia
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, FYRO
Malaysia
Maldives
Mali
Malta
Mexico
Moldova
Monaco
Mongolia
Montenegro
Morocco
Myanmar
Nepal
Netherlands
New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Réunion
Romania
Russia
Rwanda
Saudi Arabia
Senegal
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sweden
Switzerland
Taiwan
Tajikistan
Thailand
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Venezuela
Vietnam
World
Yemen
Billing Contact Information
Same as Primary Contact
First Name:
*
Last Name:
*
Title:
Phone:
*
Cell Phone:
Fax:
Email:
*
Contact Preference:
Email
Phone
Social Networking:
LinkedIn
Facebook
Instagram
Address
Same as Member Address
Line 1:
*
Line 2
City:
*
State:
*
Postal Code:
*
Country:
*
--- Select Country ---
Canada
United States
Membership Options
Membership Package:
*
Level 1
:
$315.00
1-30 Employees (2 part-time employees equal 1 full-time employee)
Level 2
:
$765.00
31-100 employees (2 part-time employees equal 1 full-time employee)
Level 3
:
$1,015.00
101- 250 employees (2 part-time employees equal 1 full-time employee)
Level 4
:
$1,765.00
251- 400 employees (2 part-time employees equal 1 full-time employee)
Level 5
:
$3,000.00
401+ employees (2 part-time employees equal 1 full-time employee)
Government
:
$315.00
Includes Civic, Charitable, Social, Gov't Official or Gov't Agency
Associate Membership
:
$130.00
Retired Business Person
Real Estate Agencies
:
$315.00
Owner/Agent can be active with initial fee/For each additional agent that wishes to be listed in the Chamber directory and utilize the benefits of the Chamber, the Investment fee would be an additional $75. Please contact the Chamber for this membership.
Hotel/Motels/Apartments
:
Base - $315 + $1 per room/apartment
Financial Institutions- Level 1
:
$750.00
<$500 million in assets. (Not for Profit financial institutions will be subject to the same levels with an applied 50% reduction to the membership dues amount):
Financial Institution- Level 2
:
$1,000.00
$500 million - <$1 billion in assets. (Not for Profit financial institutions will be subject to the same levels with an applied 50% reduction to the membership dues amount):
Financial Institution- Level 3
:
$1,500.00
$1 billion - <10 billion in assets (Not for Profit financial institutions will be subject to the same levels with an applied 50% reduction to the membership dues amount):
Financial Institution- Level 4
:
$2,000.00
$10 billion - <$100 billion in total assets. (Not for Profit financial institutions will be subject to the same levels with an applied 50% reduction to the membership dues amount)
Financial Institution- Level 5
:
$3,000.00
$100 billion + in assets (Not for Profit financial institutions will be subject to the same levels with an applied 50% reduction to the membership dues amount)
Payment Option:
Bill me
Charge my credit or debit card
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