Member Application

The Business Membership rate for all employers, except special categories, is calculated according to number of full-time equivalent employees. If your employee count is higher than 90, please contact our office at 330-343-4474 for assistance.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email:

Business Description (200 char max):

Directory Category:

Employees:

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Phone:

Fax:

Email:

Contact Preference:

Email Phone

Password:

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Print Application

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Tuscarawas County Chamber of Commerce