Member - Pacifica Chamber of Commerce - Pacifica Chamber of Commerce

Welcome to the Pacifica Chamber of Commerce online member application process.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Primary Contact Information

First Name: *

Last Name: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Sole Proprietor/Small Business 0-4 Employees: $295.00
Sole Proprietor/Small Business 0-4 Employees Small Business 5-9 Employees: $395.00
Small Business 5-9 Employees Medium Business 10-19 Employees: $495.00
Medium Business 10-19 Employees Large Business 20+ Employees: $545.00
Large Business 20+ Employees Non-Profit Organization/Government: $205.00
Non-Profit Organization/Government Individual Home Based Business: $235.00

Additional Fees:

Processing Fee : $30.00
One-Time Processing Fee $30.00

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address