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Effingham County IL Chamber of Commerce

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Member Application

Thank you for your interest in the Effingham County Chamber of Commerce! Please complete the application below and submit. A Chamber staff member will contact you shortly to find out how we can help you make the most of your Chamber membership.

Membership Tiers Brochure

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 *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website *

Please add your company website.

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 2:

Additional Info

I am joining the Chamber for.. *

Looks good!

I was referred to the Chamber by

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Email

Phone

Create Account

This Login is already in use

Login *

Please add your login username.

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Email

Phone

Create Account

This Login is already in use

Login *

Please add your login username.

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Capital Investor - Stakeholder Level $ 10,000

Capital Investor - Advocate Level $ 5,000

Capital Investor - Catalystic Level $ 3,000

Influence Level $ 1,495

Engage $ 995

Grow Level $ 595

Connect A La Carte $ 445 annually Switch to monthly autopay?

Connect Level $ 295

Contact Becky Brown, Membership Director, for assistance in completing your membership application.

Please call (217) 342-4147 or email bbrown@effinghamcountychamber.com

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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Contact Information

Effingham County Chamber of Commerce | P.O. Box 643 | 903 Keller Drive | Effingham, IL
Hours: 8 a.m. - 5 p.m., Monday - Friday
Phone: 217-342-4147 | Fax: 217-342-4228 | E-mail Us

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