Member Information Update 2024

If you are a new member of the Chamber, or if you need to update your information, please fill out the form below.

Applicant's Name*
First Last
Business Name*
* For individuals please type in Non-Business
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

* If mailing address is different then the business address. Not listed on member directory
Website Address
Business Phone Number*
Direct Phone Number
* If you would like to give another number that’s better to reach you. Not listed on member directory
Business Email*
Membership Type (Please choose one)*
- All: $9/mo or $99/yr
***Please Note: All membership applications are subject to approval by the Board of Directors of the North Rockland Chamber of Commerce.***
For our website directory, what would you like your business description to say? Tell us a little about your business:*
Website Member Directory Image. Do you have a logo you would like us to use for your website directory?*
- Yes
- No
File
Accepted file types: jpg, gif, png, Max. file size: 256 MB.
Please upload your image here. The file size must not exceed 250 kb, and should be in .jpg, .png or .gif format.
What benefits do you expect from the North Rockland Chamber of Commerce?*
In what ways are you interested in being involved with the Chamber?*
Consent
In applying for membership, and by checking the box marked "I agree" below, I agree to conform to the by-laws of the North Rockland Chamber of Commerce.*
- I agree
Name of Applicant*
Date*
Month
Day
Year
CAPTCHA
Note: You will be redirected to the payment page after successfully submitting this form.
Comments
This field is for validation purposes and should be left unchanged.

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About the North Rockland Chamber of Commerce