Membership Form

Rantoul Chamber of Commerce

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Home
About
Events
Directory
Membership
Board of Directors
Job Connection
Tourism Map
Resource Guide
Contact

Membership Form

Business Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Primary Contact Name *

First

Last

Title *

Email *

Website Address

Office Phone *

Office FAX

Cell Phone *

Owners/Officers *

Additional Email Addresses

Business Description *

Short description of your business (if this info is not available online, provide text for use in our newsletter)

Directory Heading *

Requested Directory Heading (up to 3 Keywords that describe your services - Heating A/C, Air Purifier Systems, Electrical, Plumbing, Real Estate, Rentals, Painting, Graphic Art, etc.)

Number of Full Time Employees *

Number of Part Time Employees *

Have you been a member before? *

Suggestions for Board (meetings, speakers, events, legislative issues, etc.) *

Would you like to Host After Hours? *

Would you like to Host Quarterly Business Breakfast? *

Would you consider becoming a Board Member if an opening occurs? *

Would you be interested in serving on an event committee? *

By submitting this application, you agree for a representative of the Rantoul Area Chamber of Commerce to contact you by way of the information you have provided on this form to discuss the terms of membership, benefits and applicable dues for you, your organization, or your business.

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