Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website *

Please add your company 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.

Postal Code *

Please add your Postal Code.

Step 2:

Additional Info

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

How did you hear about the Brookhaven Chamber? *

Looks good!

Women-Owned Business

Minority-Owned Business

LGBTQ-Owned Business

Veteran-Owned Business

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Step 4:

Membership Package

Please select a Membership Package

1-10 Employees $ 550

Full time equivalent employees. Starting at $550 annually.

11-20 Employees $ 1,100

Full time equivalent employees. Starting at $1,100 annually.

21+ Employees $ 3,000

Full time equivalent employees. Starting at $3,000 annually.

Young Professionals $ 250

For individuals aged 35 years or younger. Starting at $250 annually.

Not-for-profits $ 250

Must provide a copy of company’s IRS determination letter. Starting at $250 annually.

Custom Membership Package Please contact us to determine the fee.

Please contact a Chamber representative to discuss customized membership options, including sponsorships and additional benefits.

Comments/Questions

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Member Application