Member Application:

* Company Name:

* Phone:

* Website:

* Email:

* 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:

* Email:

Contact Preference:

Email Phone

Address:

Same as Company Address

City/State/ZIP:

Country:

Membership Package:

	1-4 Full Time Employees: $200.00 Standard membership package for 1-4 employees
	5-10 Full Time Employees: $300.00 Standard membership package for 5-10 employees
	11+ Full Time Employees: $375.00 Standard membership package for 11+ employees
	50+ Full Time Employees: $500.00 Standard membership package for 50+ employees

Additional Fees:

Online Sign-up Fee
$5.00 Online Convenience Fee

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EAST GREENWICH CHAMBER OF COMMERCE

580 Main Street | East Greenwich, RI 02818
Phone: (401) 885-0020 | Fax: (401) 885-0048