The Greater Brandon Chamber of Commerce

The Greater Brandon Chamber of Commerce

Membership Renewals

Brandon, Bloomingdale, Dover, Fish Hawk, Lithia, Mango, Riverview, Sabal Park, Seffner, Tampa East, Turkey Creek, Valrico, Tampa

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PLATINUM ELITE MEMBERS

BRANDON AREA DIRECTORY™

BRANDON COMMUNITY PLAN

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Membership Application

Yes - I want to invest in my business & the future of the community through
membership in the Greater Brandon Chamber of Commerce.

List us in the Membership Section of The Brandon Area Directory™ as follows:

Step 1: Business Information

* information is required.

Todays Date:

*Business Name:

*President/Owner:

*Physical Address:

*City: *State: *Zip:

*Area Code: *Phone: Fax:

Do Not Publish Physical Address:

Referred By:

*Members Full Name

Step 2: Mailing Address

Check Here If Same As Above

Mailing Address:

City: State: Zip:

Do Not Publish Mailing Address:

Step 3: Internet Information

Website Address:

E-mail Address:

Do Not Publish My E-Mail Address:

Social Networking Websites

Facebook Address:

Twitter Address:

MySpace Address:

Linkedin Address:

YouTube Address:

Step 4: Membership Information

*Your Paid Rep. Name:

(1 per membership. Person who will receive all mailings
and will be listed on our membership list)

Step 5: Select Category

Primary Category:

Additional Listing 1:

Additional Listing 2:

Additional Listing 3:

Additional Listing 4:

Step 6: Business Information

Number of Full-Time Employees:

P/T Employees:

County/State Lic. Number:

Home Based Business:

Minority/Woman Owned:

Sponsored by:

Reason(s) for Joining:

Step 7: Dues Schedule/Business Categories/Annual Investment

Dues Schedule

Step 8: Dues Investment Schedule

A. *Annual Dues Investment $ See step 7

B. Additional Category ($25) $ From step 5

C. Additional Representative ($50 per) $

D. Administrative Fee ($25) (required)** $

**(non refundable)

Step 9: Elite Membership Upgrade

Please upgrade my membership to

E. Platinum Additional $1,750.00

F. Gold Elite Additional $1,000.00

G. Silver Elite Additional $675.00

H. Bronze Elite Additional $275.00

ELITE MEMBERSHIP
BENEFITS CHECKLIST

Download Now!

Step 10: Please add Step 5 1-3 and A-H in steps 8 and 9 for your totals

Your Membership Total $

Step 11: Payment Method

Help

Card Number: Exp. Date: /

CVV Security Code: [help?]

Cardholder's Name:

I understand that $10 of my membership investment is designated as a subscription to Brandon Business, the Chamber's newsletter.

Application must be completed and returned with payment Membership is subject to approval by the Board of Directors

A 90-Day Money-Back Guarantee!
If you attend at least four (4) Chamber functions during the first 90 days of your membership and are not completely satisfied, just write us a note including the events that you have attended and we will refund your membership investment (excluding administrative fee).

We Guarantee It.
You can also fill this form out
and print it out and mail it to the
Greater Brandon Chamber of Commerce
330 Pauls Drive, Ste 100. Brandon, Florida 33511
Or Fax it to (813) 689-9440

This process uses the latest
SSL Security Encryption to protect your information.

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