MEMBER DIRECTORY

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Please provide us with your information in the form below. Your application will be forwarded to our Membership Committee and we'll be in touch with you shortly to let you know your application has been accepted. In the meantime if you have any questions please call us at 860.693.0405 or email info@cantonchamberofcommerce.com. Thank you.
 

Member Application:

* Company Name:  
* Phone:  
Website:
* Email:
Business Description (200 char max)
 
* Physical Address:  
* City/State/ZIP:  
Country:
 
* Mailing Address: Same as physical address
* City/State/ZIP:
Country:
 
Business Category:
Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
* Title:  
* Phone:  
Cell Phone:
Fax:
* Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
 
* Address: Same as Company Address
* City/State/ZIP:
Country:
 
 

Billing Contact Information:
Same as Primary Contact
Name (First / Last):  /   
Title:  
Phone:  
Cell Phone:
Fax:
Email:  
Contact Preference: Email  Phone
 
Social Networking: LinkedIn:
Facebook:
 
Address: Same as Company Address
City/State/ZIP:
Country:
 
 
Membership Package:
1-2 Employees: $125.00
(Full time employees (30+hrs/week) including owner)
3-5 Employees: $175.00
6-10 Employees: $235.00
11-24 Employees: $295.00
24-49 Employees: $445.00
50-99 Employees: $645.00
100+ Employees: $985.00
Non-Profit Associate Member: $125.00
Individual & Senior (60+) Associate Member: $50.00
Additional Opportunities:
We will contact you with additional information.
Welcome Sign
New Members may have a temporary "Welcome" sign placed in front of or near their business in Canton's commercial zones for approximately 30 days for a one-time payment of an additional $43.00, which covers the cost of creating and placing the sign.
Payment Option:
Charge my credit card
 
 
Submit Application:
Enter the CAPTCHA answer, then press the Submit Application button.
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