Membership Application

Nantucket, MA - Cape Cod
 
   
On-Island Mailing Address & Information
Name of Business *
Street *
P.O. Box
City *
State *
Zip *
Phone *
Fax
Website
Email *
Main Contact/Owner
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title
Phone *
Email *
Additional Contacts
Billing Address (if different)
Street
City
State
Zip
Business Location (if different)
Street
City
State
Zip
Winter Address (if different)
Street
City
State
Zip
Winter Address Time Frame
On Island Year Round?
Additional Information
Date Business Was Established
Describe Your Business: A business profile submitted in conjuction with this application will assist us in learing more about you.
Please list business references, with one on-island. (Letters of support are recommended)
Name
Business
Phone
Name
Business
Phone
It is important for us to know why you would like to be a member of the Chamber. What do you feel your membership will bring to the Chamber and the community of Nantucket? What cah the Chamber do for your business or organization?
Who recommended the Chamber to you?
PLEASE NOTE: A D.B.A. (Doing Business As) certificate from the Nantucket Town Clerk's office must accompany all applications. This does not apply to businesses that are incorporated or associate members.
Membership Investment
Membership Type: *
Membership Directory Category *
Number of Full Time Employees:  
Number of Part Time Employees:  
Number of Units (Accommodations):  
Number of Seats (Restaurants):  
Number of Brokers/Sales Associates (Real Estate):  
   
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Additional Directory Categories
**Hold CTRL on your keyboard to select multiple categories**
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Membership ($50):
$ 
$ 
$ 
*

Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
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Multiple Business Memberships: Owners of several businesses will be able to register their second, third, etc. business as a Chamber member for a discount. The member would pay full rate for the largest of their businesses. The second largest business joining would receive a 30% discount, the third a 40% discount. Members owning more than four businesses would receive a 50% discount. For complete details, please contact Michael Galvin, Member Services Manager at 508-228-3643 x206.
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