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 ---
Accountants
Accounting & Tax Consultants
Advertizing & Marketing
Agri Business
Agri Chemicals
Agri Tourism
Airbnb
Airports
Airvac Services
Ambulance Services
Animal Feed
Animal Groomer
Animal Hospitals
Apartments
Attorney
Auto Parts
Automotive Sales
Automotive Service
Banking
Bar/Club
Barber Shop
Battries
Beauty Salons
Behavior Health
Bookkeeping Services
Building Construction
Business & Professional Services
Business Development
Cable
Carnivals, Fairs & Festivals
Carpet Cleaning
Caterer
Chamber
Church
Club
Coffee Shop
College
Community Organizations
Concrete & Concrete Products
Consultants
Contractor
Convenience Store
Copper Development
Cotton Gin
Counciling
Credit Unions
Dairy
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
Farm
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
Jump School
Landscape Supplies/Services
Laser Printers
Library
Lodging & Travel
Magazine & Journal Publishers
Manufacturing
Massage Therapist
Medical Supplies
Metal Products Wholesale & Manufactures
Mining & Metals
Motels
Museum
National Monument
Newspaper
Non-Profit
Nurseries
Office Equipment Repair
Orthodontics Dentist
Payroll Services
Pest Control
Pharmacies
Phone Directory Advertising
Phone Reparis
Phone Services
Photographer
Physical Therapy
Plumbing
Points of Interest
Police Department
Port-a-Potty
Power/Water
Preschools
Printing
Real Estate
Real Estate Management
Recreation
Recycling
Restaurant
RV, Mobile Home Parks & Communities
Sheriff's Department
Shopping & Retail
Smoke Shop
Sports & Recreation
Storage
Tattoo/Piercing
Tire Sales
Title Company
Tourist Information & Attractions
Training Facility
Transportation
Transportation Services
Trash Services
Trophies
Tutoring
University
Urgent Care Centers
Utilities
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.
Payment Option:
Bill me
Charge my credit or debit card
Please scroll down to view the entire policy and then click Accept.
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privacy policy
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