Member Application Welcome, becoming a member of the Coolidge Chamber is just the beginning of your membership. Business Information Company Name: * Leave Blank: Phone: * Website: Email: * Business Description (200 char max): * Directory Category: * --- Select Primary Category --- Accounting & Tax Consultants Advertising & Marketing Agricultural Products & Services Airports Airvac Services Ambulance Services Animal Feed Animal Groomer Animal Hospitals Apartments Attorney Auto Parts Automotive Sales Automotive Service Baked Goods Banking Bar/Club Barber Shop Batteries Beauty Salons Behavior Health Bookkeeping Services Building Construction Business & Professional Services Business Development Cable Car Wash Carnivals, Fairs & Festivals Carpet Cleaning Caterer Chamber Childcare Church Cleaning Services Club College Community Organizations Concrete & Concrete Products Consultants Contractor Convenience Store Copper Development Cotton Gin Counciling Credit Unions Dairy Dance Studio Dentist Department Store Direct Sales Disability Services & Support Organizations Doors, Glass, Mirrors & Auto Dry Cleaners Economic Development Education Electrician Employee Benefits Insurance Energy Solar Entertainment Equipment Repairs Event Space Event Supplies & Services Farm Equipment Fast Food Restaurants Fire Department Flooring Florists Funeral Homes Furniture & Appliance Garden Supply Gas Gas Stations Government Granite material Grocery Store Guns & Ammunition Dealers Gym Hardware Retail Health & Wellness Health Clinics Health Insurance Heating & Air Conditioning Home & Garden Home Builders Home Health Care Home Security Systems Hospice Services Hospital Hotel Ice Cream Shops Individual Insurance Agent Internet Investment Services Investor Irrigation Irrigation Pump Repair Job Services Job Training Landscape Supplies/Services Laser Printers Library Lodging & Travel Magazine & Journal Publishers Manufacturing Massage Therapist Medical Supplies Metal Fabrication Metal Products Wholesale & Manufactures Mining & Metals Motels Museum National Monument Newspaper Non-Profit Nurseries Office Equipment Repair Orthodontics Dentist Parachute Training Payroll Services Pest Control Pharmacies Phone Directory Advertising Phone Repairs Phone Services Photographer Physical Therapy Plumbing Points of Interest Police Department Pool Services Port-a-Potty Power/Water Preschools Printing Real Estate Real Estate Management Recreation Recycling Restaurant Roofing RV, Mobile Home Parks & Communities Sheriff's Department Shopping & Retail Smoke Shop Sports & Recreation Storage Tattoo/Piercing Tea/Coffee Shop Tire Sales Title Company Tourist Information & Attractions Training Facility Transportation Transportation Services Trash Services Trophies Tutoring University Urgent Care Centers Utilities Vacation Rentals Veterans Organizations Veterinarians Water Water Damage Restoration Water Treatment Facility Builders Web Design Web Site Developers Employees: Full-time Part-time Business Keywords (enter a space between words): * Comments / Questions: Committee Interest: Events Committee Economic Development Shop Local Membership Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Social Networking: LinkedIn Facebook Primary Contact Information First Name: * Last Name: * Title: Phone: * Cell Phone: Fax: Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: * Line 2 City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Billing Contact Information Same as Primary Contact First Name: * Last Name: * Title: Phone: * Cell Phone: Fax: Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: * Line 2 City: * State: * Postal Code: * Country: * --- Select Country --- Canada United States Membership Options Membership Package: * Individual Membership: $50.00 Individual Membership Non Profit/Government/Clubs Membership: $125.00 Non Profit/Government/Clubs Membership Partnership/Sole Proprietor Membership: $175.00 Partnership/Sole Proprietor Membership Corporation: $225.00 Corporation Business Second Business Membership: $125.00 A Company has 2 or more business you receive the next membership at a flat rate. Presidential Premier Membership: $3,000.00 Membership includes sponsorship and marketing advantages Executive Premier Membership: $2,000.00 Membership includes sponsorship and marketing advantages. Investor Premier Membership: $1,000.00 Membership includes sponsorship and marketing advantages Payment Option: Bill me Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Coolidge Chamber of Commerce. I grant Coolidge Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. Please read and accept the privacy policy before continuing. Print Application Museums & entertainment spots Restaurants & Bars Schools Get in Touch with us Address 351 N. Arizona Blvd., Coolidge Arizona 85128 Contact Info [email protected] 520-723-3009 Contact Us FollowFollowFollowFollow