Application

*It is possible that we will be taking photos and/or filming at any of our Chamber events, and that you may be featured in these photos/videos. These photos/videos are for the use of the Greater Sarasota Chamber of Commerce ONLY and could possibly be featured on our website, on our social media accounts, and/or in the Chamber’s advertisements and promotional materials.

Organization Information (to be displayed online)

Organization Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

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State

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Business General Phone Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Fax Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Website Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Business General Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information Must be a valid email address

Main Contact

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

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City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

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Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Main Contact Phone Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Main Contact Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information Must be a valid email address

Additional Contacts

Contact 1

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 2

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 3

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 4

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 5

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

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Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 6

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 7

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Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 8

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 9

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 10

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Phone Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Billing Address (if different)

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

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Mailing Address (if different)

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Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

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Additional Information

Referred By Required Please enter a valid number Please enter a valid date Please enter valid credit card information

How did you hear about us? Required Please enter a valid number Please enter a valid date Please enter valid credit card information

What is your reason for joining? Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Please have someone contact me regarding

Advocacy
Business Exposure
Collaboration
Community Engagement
Connection Opportunities
Resources
Other Required Please enter a valid number Please enter a valid date

Membership Investment

Membership Type

Primary Directory Category

Number of Full Time Employees

Annual Membership Investment $0.00

Total

The contents of this box are for testing purposes. This box will be removed when the form goes live.

Full-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Part-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Hotel/Motel Rooms Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Restaurant Seats Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Associates Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Associates Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Locations Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Locations Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Assets Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Assets Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Categories Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Number Of Additional Categories Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Categories Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 1 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 2 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 3 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 4 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 5 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 6 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 7 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 8 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 9 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 10 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Annual Dues (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Revenue Item Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Tax (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Fee (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Temp Value For DropDown 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

MembershipType Required Please enter a valid number Please enter a valid date Please enter valid credit card information

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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.

Additional Directory Categories

Select additional directory categories below by holding the "CTRL" key
Secondary categories may be subject to additional fees

Number of Part Time Employees

Number of Rooms

Number of Seats

Number of Associates

Number of Locations

Millions in Assets

Enhanced Membership ($50)

Additional Items $0.00

Additional Categories Cost $0.00

One-Time Application Fee $0.00

Tax $0.00

Credit Card Information

Credit Card Type

Mastercard

Visa

Discover

Amex

Credit Card Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

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City	Required
State
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Credit Card Email Address

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Please select a membership type before submitting your application.

Chamber memberships are non-refundable. As a member, I understand that by providing my mailing address, email address, telephone and fax numbers, I consent to receive communications sent by or on behalf of The GSCC (and it subsidiaries and affiliates) via regular mail, email, telephone and/or fax.

the greater sarasota
chamber of commerce

Our Sponsors

QUICK LINKS

the greater sarasota​chamber of commerce

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

Our Sponsors

QUICK LINKS

the greater sarasota
chamber of commerce

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