Tuscarawas Chamber of Commerce

Business Information

Company Name: *

Phone: *

Website:

Email:

Business Description (200 char max):

Business Category:

Employees:

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State / Province:

ZIP / Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Login:

Password:

Address

Same as Company Address

Line 1:

Line 2

City:

State / Province:

Zip / Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Phone:

Fax:

Email:

Contact Preference:

Email Phone

Login:

Password:

Address

Same as Company Address

Line 1:

Line 2

City:

State / Province:

ZIP / Postal Code:

Country:

Membership Options

Membership Package: *

Business Membership Rates: See fee schedule to determine the fee and enter it below.
Professional Membership Rate: See fee schedule to determine the fee and enter it below.
Includes: Attorneys, Health Care, Accountants, Utilities, Insurance, Real Estate, Appraisal, Investments/Retirement, Pharmacy, Architects, Surveyor, Engineers, Computer Additional Member to Master: See fee schedule to determine the fee and enter it below.
Banks/Savings & Loan/Financial: See fee schedule to determine the fee and enter it below.
School/Education: See fee schedule to determine the fee and enter it below.
Individual, Non-Profit: See fee schedule to determine the fee and enter it below.
Charitable 501 (c) 3, individuals, retirees, & elected offices. If using fee schedule, enter fee here:

Additional Fees:

Administrative Fee $35.00
One Time New Member Application Fee

Payment Option:

Bill me Charge my credit card

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