Member - Mount Prospect Chamber of Commerce, IL

Member Application

Needing help to rebuild and restore your business, connect with resources and people to grow your business or network with other business owners in Mount Prospect? Join the Mount Prospect Chamber today and begin investing in the success of your business! Teresa VanOpdorp Business Development Director Mount Prospect Chamber of Commerce 847-999-0802 www.mountprospectchamber.org

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *
Please add your company name.

Leave Blank

Phone *
Please add your company phone number.

Website

Email *
Please add a valid email.

Physical Address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Step 2:

Additional Info

Directory Category *
Please select a directory category.

Step 3:

Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Phone *
Please add your phone number.

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *
Please add your first name.

Last Name *
Please add your last name.

Phone *
Please add your phone number.

Email *
Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1 *
Please add your address.

Address line 2

Country *
Please add your country.

City *
Please add your City.

State *
Please add your State.

State *
Please add your State.

State *
Please add your State.

Postal Code *
Please add your Postal Code.

Create Account

This Login is already in use

Login *
Please add your login username.

Password *
Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Classic $ 300
Full 12 months

Associate $ 440
Full 12 Months

Partner $ 640
Full 12 Months

Executive $ 1,250
Full 12 Months

Non Profit Classic $ 275
Full 12 Months

Non Profit Associate $ 415
Full 12 Months

Non Profit Partner $ 640
Full 12 Months

Payment Option

Charge my credit or debit card

Please complete the Captcha

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Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Address

Create Account

Step 4:

Billing Contact

Address

Create Account

Step 5:

Membership Package

Payment Option