Member Application

You've already made a wise decision to join the Bonner Springs - Edwardsville Area Chamber of Commerce! The Chamber enriches the community through the knowledge and experience of over a hundred members, and dozens of organizations working collectively toward a common goal. It's a source of knowledge, a venue for human interaction, and a chance to unite our communities together as one. Please be sure to fully complete your member profile and sign up to receive our e-newsletters. We are excited to have you on board! Emily Blanks, Executive Director

Business Information

Company Name: *

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Phone: *

Website: *

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words): *

Comments / Questions:

Ownership Type:

Physical Address

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Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Social Networking:

LinkedIn Facebook

Primary Contact Information

First Name: *

Last Name: *

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Password: *

Billing Contact Information

Same as Primary Contact