Member Application

Thank you for your interest in the North Canton Area Chamber of Commerce. You can opt to be billed or call the Chamber office at (234)521-5322 to process a credit card.

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name * required

Please add your company name.

Leave Blank

Phone * required

Please add your company phone number.

Website * required

Please add your company website.

Email * required

Please add a valid email.

Physical Address

Address line 1 * required

Please add your address.

Address line 2

Country * required

Please add your country.

City * required

Please add your City.

State * required

Please add your State.

State * required

Please add your State.

State * required

Please add your State.

Postal Code * required

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 * required

Please add your address.

Address line 2

Country * required

Please add your country.

City * required

Please add your City.

State * required

Please add your State.

State * required

Please add your State.

State * required

Please add your State.

Postal Code * required

Please add your Postal Code.

Step 2:

Additional Info

Directory Category * required

Please select a directory category.

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name * required

Please add your first name.

Last Name * required

Please add your last name.

Title

Phone * required

Please add your phone number.

Email * required

Please add a valid email.

Contact Preference

Email

Phone

Step 4:

Billing Contact

Same as Primary Contact

First Name * required

Please add your first name.

Last Name * required

Please add your last name.

Title

Phone * required

Please add your phone number.

Email * required

Please add a valid email.

Contact Preference

Email

Phone

Step 5:

Membership Package

Please select a Membership Package

1-9 Employees $200

10-25 employees $260

26-100 employees $325

Over 100 employees $455

Non-profit 501 (c) (3) $140

Individual $140

Name only, no business name will be listed

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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