Become a Member MEMBERSHIP DRIVE (LIMITED TIME ONLY!): 50% OFF INDIVIDUAL/BUSINESS MEMBERSHIP – NOW $100 (WAS $200). Thank you for interest in joining Love Conshy! Please complete the form below and someone will be in touch with you within 48 business hours to discuss your application. Company Name* Address City State Zip PhoneFaxEmail* Web Address Brief description of company and services offered (category)How did you learn about the Chamber? (If referred please state person and company name) Our Primary Interests are (check all that apply) Networking Opportunities Promotions/Advertising Educational Opportunities Community Involvement Annual Membership DuesHow Many Employees?* 1-10 11-50 51+ How Many Years? Are You a New Member?*YesNoChoose Membership Level* Individual/Business Membership (50% off - limited time!) - $100.00 Corporate Membership (50% off - limited time!) - $250.00 Renewal Membership* Individual/Business Membership (50% off - limited time!) - $100.00 How Will This Be Paid For?*Credit Card (Click link at bottom of screen)Mail Check**If choosing "Mail Check", once you click submit on the form you can exit out of the window after being prompted to pay via PayPal.Amount must be verified so selecting your method of payment simply allows us to send you an invoice to pay by check.Representative InformationName of Principal Representative* First Last Title e-Mail Representative InformationNumber of e-mail representatives? Please enter the names and e-mail addresses for all e-mail representativesCAPTCHA