Membership Application

 
If you’d like to join the chamber, please fill out the below information, and we’ll follow up to finalize. If you have any questions about membership, benefits, fees, or the chamber, please call or email our Membership Development Manager Dan Santos [dsantos@portlandregion.com] at 207-772-2811 Ext. 234.
   
Organization Information (to be displayed online)
Organization Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Website
Email *
Main Contact
First Name *
Last Name *
Billing Contact
First Name
Last Name
Address 1
Address 2
City
State
Zip
Additional Information
Referred by
How did you hear about us?
Membership Investment
Membership Type: *
Number of Full Time Employees:  
Number of Part Time Employees:  

There are a number of ways to pay for your new membership. Once we receive your application, a member of our team will be in contact with you to arrange this payment. If you would like to pay right away, you can give us a call at (207) 772-2811 to get a quote for your membership fee or pay over the phone. Credit cards and checks are accepted. Thank you!


The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
tempValueForDropDown1
Primary Directory Category *
Additional Directory Categories
**Hold CTRL on your keyboard to select multiple categories**
Number of Rooms (Accommodations):  
Number of Associates (Realtors, Attorneys):  
Number of Seats (Restaurants):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Membership ($50):
$ 
$ 
   
$ 
Total: $ 
Please click submit only one time.  The transaction may take several seconds.

Portland Regional Chamber of Commerce