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Membership Application

Please see information below to calculate dues. Contact HartfordCityChamber@yahoo.com with any questions. Printable forms are also available.

--- or proceed to the online application ---

Online Application

DON'T FORGET TO HIT THE SUBMIT BUTTON AT THE BOTTOM OF THE PAGE AFTER COMPLETING THE FORM

* Company or Individual Name
0/50
* Street Address
0/50
* City
0/50
* State
0/50
* Zip Code
0/50
Telephone
0/50
* Email
0/50
Website
0/50
Facebook or Other Social Media
0/250
* Business Type
Other business type:
0/50
* Business Description
0/500
* Primary Contact Name
0/50
* Primary Contact Title
0/50
* Primary Contact Telephone
0/50
* Primary Contact Email
0/50
* Membership Type

We don't penalize you for your success, your dues are not based on the number of people you employ. If you choose to include your number of employees, this is only used for statistical purposes. If your company would like to give more, we will gladly accept your contribution.

Number of employees
0/50
Additional Donation (Invoiced with dues)
* Total Membership Due (Add amounts from above for total)
0/50