The Berlin Chamber is a proud member of the U.S. Chamber of Commerce
 

Secure Online Membership Form
 Business Information
New Member  Renewal

Company:
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:

Telephone:
Fax:
E-mail:
Business Web site:

Number of Employees
F/T   P/T
Business Description
Year Business Was Established
Referring Member
Notes or Questions


 
Payment Information
Method of Payment:
 Visa    Master Card		 Credit Card #:
Name on Card:
Street Address:

Town/City:
Zip Code: 

Credit Card Expiration Date:
  

Auto Renewal Option
Yes No
Annual membership renewal fee will automatically charge your credit card March1st, for the upcoming Membership Year.

 

Home | Welcome to Berlin Chamber | About the Berlin Chamber | Chamber Happenings | Find the Chamber
Meet Our Members | Calendar | Links

© 1996-2007 the Berlin Chamber of Commerce. All rights reserved.
Ferndale Center. 40 Chamberlain Hwy.
Kensington, CT 06037
Tel: (860) 829-1033 . Fax: (860) 829-1243
e-mail: director@berlinctchamber.org

Site Design:  Omega Communications, Inc.