Key Largo Chamber Membership Application

Please include a copy of your Monroe County occupational license with this application.

Note: Your membership dues support the activities of the chamber and are non-refundable.

The chamber serves as an advocacy organization for business purposes. It is not a charitable organization.

Organization Information (to be displayed online)

Organization Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Fax

Website

Email *

Main Contact

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Title

Phone *

Email *

Additional Contacts

Billing Address (if different)

Street

City

State

Zip

Mailing Address (if different)

Street

City

State

Zip

Additional Information

Referred by

How did you hear about us?

What is your reason for joining?

Please have someone contact me regarding

	*Check all that apply
	Business Resources
	Community Involvement
	Cost Savings Programs (Insurance, Office Supplies, Worker's Compensation)
	Economic Development
	Government Relations
	Networking
	Other Required Please enter a valid number Please enter a valid date

Membership Investment

Membership Type: *

Primary Directory Category *

Additional Directory Categories

Primary Directory listing is complimentary
Up to two additional Directory listings are complimentary
After two, additional Directory listings are $35 each

**Hold CTRL on your keyboard to select multiple categories**

Number Employees:

Annual Membership Investment

Additional Categories Cost

One-Time Application Fee

Total: $

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost

Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)

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Number of Part Time Employees:
Number of Rooms (Accommodations):
Number of Seats (Restaurants):
Number of Associates (Realtors, Attorneys):
Number of Locations ($35/add. location):
Millions in Assets (Financial Institutions):
Enhanced Membership ($50):
Tax	$
Payment Type *
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

Credit Card Information

Credit Card Type *

Mastercard

Visa

Discover

Amex

Credit Card Number *

Name On Card	Required
Security Code	Required
Valid Through
	Use Address Above
Credit Card Address 1	Required
Credit Card City	Required
Credit Card State
Credit Card Zip	Required
Credit Card Phone Number	Required
Credit Card Email Address

Please click submit only one time. The transaction may take several seconds.

Key Largo Chamber Membership Application .wc-legacyPageTitle, .GeneralHeader, .HeaderStyle1, #wc-eventDetailsPageTitle, #wc-eventRegistrationPageTitle { display: none!important; }

Key Largo Chamber Membership Application