West Plains Chamber of Commerce

Business Information

Company Name: *

Phone: *

Business Category:

Employees:

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State / Province: *

ZIP / Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State / Province:

ZIP / Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Email: *

Contact Preference:

Email Phone

Login:

Password:

Address

Same as Company Address

Line 1:

Line 2

City:

State / Province:

Zip / Postal Code:

Country:

Membership Options

Additional Opportunities:

We will contact you with additional information.

General Membership Breakfast Annual Ticket : $216.00
Twelve General Membership tickets, at $18 each. Breakfast Display Table : $75.00
Includes display table before, during, and after the meeting. Receive 1 breakfast and the opportunity to offer a raffle item. Breakfast Sponsorship : $300.00
Breakfast sponsors have the opportunity to give a 3 minute presentation about your company, products or services. Includes display table. You receive 2 breakfasts and the opportunity to leave promotional materials at each place setting Web Site Front Page Banner Ad : $300.00
12 Month 125x125 pixel Banner Ad on the front page of our web site. Web Site Section Banner Ad : $120.00
12 Month Banner Ad in the Member Directory section of out website. E-News Ad : $75.00
125x125 pixel Banner Ad in one edition of the monthly E-news.

Payment Option:

Bill me

In the effort to fight spam, please provide the answer to the following question.

What is the sum of 2 plus 8?: *

Member Application

Physical Address

Mailing Address

Address