Membership Application Form

Select An Option

Membership Investment Price of Level Selected (Price Range: $250 - $450 Annually)

Select Level

Membership Investment 1-10 Employees $250 Annually + Price of Level Selected (Price Range: $250 - $250 Annually)

Select Level

Membership Investment 1-10 Employees; Membership multi-location fee

Membership Investment 11-50 Employees $300 Annually

Membership Investment 51-200 Employees $400 Annually

Membership Investment 200+ Employees $450 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Membership Options are incorrect, Please check the selected membership options

Herkimer County Chamber of Commerce