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

Member Application:

* Company Name:  
* Phone:  
Website:
 
* Physical Address:  
* City/State/Zip:  
Country:
 
* Mailing Address: Same as physical address
* City/State/Zip:
Country:
 
* Business Category:
* Employees: Full-time:      Part-time: 
Comments/Questions:
 
 

Primary Contact Information:

* Name (First / Last):  /   
* Phone:  
Fax:
* Email:  
Contact Preference: Email  Phone
 
Address: Same as Company Address
City/State/Zip:
Country:
 
 

Billing Contact Information:
Same as Primary Contact
* Name (First / Last):  /   
* Phone:  
Fax:
* Email:  
Contact Preference: Email  Phone
 
Address: Same as Company Address
City/State/Zip:
Country:
 
 
Membership Package:
1 - 2 Employees: $200.00
Business with 1-2 employees
3 - 4 Employees: $260.00
Business with 3-4 employees
5 - 10 Employees: $310.00
Business with 5-10 employees
11-20 Employees: $400.00
Business with 11-20 employees
21+ Employees: $485.00
Business with 21 + employees
Sole Proprietor: $160.00
Business with no employees
Individual: $160.00
Individual supporting the Chamber
Non - Profit: $90.00
Non - Profit Organization
Additional Fees:
Processing Fee
Processing Fee
Payment Option:
Charge my credit card
 
 
Submit Application:
Enter the CAPTCHA words, then press the Submit Application button.
  Submit Application Print Application