Membership Application Thank you for your interest in joining the El Dorado Hills Chamber of Commerce. We offer four convenient ways to join: ONLINE. Sign up online using the Member Application below. PHONE. Call us at 916-933-1335 MAIL. Print out a Member Application and return to: El Dorado Hills Chamber of Commerce, 2085 Vine Street, Suite 105, El Dorado Hills, CA 95762 FAX. Print out a Member Application and fax to us at: 916-933-5908 MEMBER APPLICATION Please provide us with as much information as possible, so that we may process your application request accurately and completely. Security Notice: Please note we transmit your data from this form using a secure server. Your Business Information Organization Name * Address 1 * Address 2 City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip * Phone * Fax Website Email * Main Contact First Name * Last Name * Title Business Phone * Mobile Phone Email * Additional Contacts First Name Last Name Title Email First Name Last Name Title Email First Name Last Name Title Email First Name Last Name Title Email First Name Last Name Title Email Billing Address (if different) Street City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Additional Information Business Description Communication Preference MailPhoneEmail Reason for Joining: Networking Business Development Advocacy/Policy Development Advertising Special Events Business Directory Support the Community Workshops Special Interests: (check all that apply) BrewFest Art, Beer & Wine Festival Ambassador Program Biz Walk El Dorado Hills Member to Member Discounts Membership Investment Membership Type: * Connector Non-Profit Connector Catalyst Convener Premier Partner Premier Partner Plus Primary Directory Category * None Accounting Services Acupuncturists Adoption Agency Advertising Agriculture Alarms & Security Systems Alcohol and Substance Abuse Services Alterations - Clothing Animal Rescue Apartments Apparel - Children Appliance Repair Archery Architects Art Asset Recovery Associations Attorneys Attorneys - Business Litigation Attorneys - Civil Litigation Attorneys - Construction Attorneys - Criminal Defense Attorneys - Family Law Attorneys - Mediation Attorneys - Personal Injury Attorneys - Probate Estate Planning Attorneys - Real Estate Attorneys - Taxes Auctions Audio Visual Equipment & Supplies Auto Body Painting & Repairing Auto Dealers Auto Parts & Supplies - New Auto Renting Auto Repair & Service Awards & Trophies Bakers - Retail Banks Banquet, Reception & Conference Facilities Barbeque & Grill Cleaning Barbers Beauty Salons & Services Bed & Breakfast Inns Behavioral Health Therapy Bicycles Billing Services Biotechnology Birthday Parties & Services Blood Banks & Centers Boats Book Store & Gifts Bookkeeping Services Boutiques & Specialty Shops Breweries Bridal Gowns, Formals & Accessories Building Business Forms Business Management Consultants Cabinets Camps Car Washing & Polishing Care Management Services Carpet, Rug & Upholstery Casinos Caterers Cellular & PCS Telephone Service Cement Products & Services Cemetery Chambers of Commerce Child Care Chiropractic Churches Cigars - Sales & Manufacturing Cleaners Closets - Custom Clothing Clubs & Organizations Cocktail Lounge Coffee Houses Collection Agencies College Planning & Test Prep Computer Disaster Recovery Computer Network Design & Systems Computer Software & Services Concrete - Decorative Consignment Services Construction Contractors - Commercial Contractors - Electric Contractors - General Contractors - Kitchen & Bath Contractors - Residential Contractors - Roofing Convenience Store Copy & Duplicating Service Corporate Housing Counseling Services Country Club - Private Coworking Credit Card Merchant Services Credit Unions Cruises Dancing Instruction Day Spas Delicatessens Delivery Services Dental Equipment - Repairing Dentists Dentists - Cosmetic Dentists - Implants Dentists - Orthodontics Dentists - Pediatric Department Stores Designer - Industrial Designer/Goldsmith Digital Signs Disappearing Screens For Doors & Windows Distillery Document Imaging Document Management Document Scanning Dog Dash Dog Trainer Doors Draperies Driving Instruction E-Commerce Economic Development Organizations Education Education & Training Educational Consulting & Services Electric Companies Electrical Contractor Electronic Contractors Electronics - Retail Elevator Contractors E-Marketing Consultants Embroidery Emergency Medical & Surgical Services Employment - Recruitment Employment Agencies Employment Background Verifications Engineering - General Contractors Engineers - Civil Engineers - Consulting Engineers - Geotechnical Entertainment Environmental Education Errand Services / Personal Assistant Esthetics Events & Conference Planning Executive Recruitment for Emerging Technology Executive Search and Recruitment Exporter Facial & Skin Care Spas Fans Household Farm & Ranch Retailer Farmers Markets Feed Dealers Financial Planning Consultants & Services Fingerprinting Services Fire & Water Damage Restoration Fire Department Fire Fighter Equipment Reseller Fire Protection Firearms Training & Consulting Fireplaces First Aid & Safety Instruction Fitness Club for Women Floor Cleaners Floor Materials - Retail Florists Food & Beverage Forestry Foster Care Fountains Franchises Fund Raising Organizations Funeral Homes & Directors Furnishings - Home/Business Furniture-Custom Garbage Collection Garden Accessories Garden Centers & Nurseries Gift & Loyalty Programs Gift Baskets Gift Items Gift Shops Gifts, Baskets, Balloons & Favors Glass - Auto Glass Plate & Window Golf Course - Private Golf Course - Public Golf Instruction Gourmet Food Shops - Retail Government Grant Writer - Developer Graphic Designers Grocers & Markets - Retail Gymnastics Instruction Handyman Services Hardware Hardwoods Hauling Health - Wellness Health & Fitness Clubs Health & Fitness Consultants Health & Wellness Products - Retail Health Plans Health Services Hearing Aids & Assistive Devices Heating & Air Contractors Hobby & Model Supplies - Retail Holistic Practitioners Home & Garden Home Builders Home Entertainment Systems Home Furnishings & Accessories Home Health/Care Services Home Inspection Service Home Repair Home Services Information & Referrals Home Staging Horseback Riding Hospices Hospitals Hot Dog Vendors Hotels House Cleaning Housewares Human Resources Human Resources Consultants Ice Cream & Frozen Desserts Identity Theft Image Consultants Independent Living Individuals Indoor Golf Simulators Information Technology Equipment Information Technology Services In-Home Care Inspection Services Insurance Insurance - Brokers Insurance - Commercial Insurance - Health Insurance - Life Insurance - Workers' Compensation Interactive Technology Services Interior Decorators & Designers Interior Designers Interior Designers-Indoor Plants Internet Access Providers Internet Consultants Inventory- Home & Business Investigators Investment Management Invitations & Announcements IT Strategy and Investment Consulting Italian Charm Bracelets Janitorial Services Jewelers Retail Jewelry Sales - Home Juice Bar Kitchen Designers Kitchen Tools Laboratories - Dental Laboratories - Medical Land Development / Planned Communities Land Survey Landscape Architects Landscape Contractors Landscape Designers Landscape Equipment & Supplies Landscaping & Lawn Services Laser Games & Entertainment Lasik Vision Correction Laundromat Lawn Maintenance Legal Services Plans Life Coach Consultants Lighting - Retail Limousine Service Lingerie - Retail Locksmith Long Term Care Consultants Lumber Lumber Mill Magazines - Publishers Mailing & Shipping Services Management Consultants Management Development / Training Manicurist Manufacturers Manufacturers' Agents & Representatives Marketing Communications Marketing Consultants Marketing Programs & Services Marketing Research Marriage & Family Therapists Martial Arts Instruction Massage Therapy Massage-Therapeutic/Body Spa Treatments Mattress, Bedding & Furniture Meal Assembly Media Service - Communications Mediation-Arbitration Medical Centers Medical Supply Memory Care & Alzheimer's Services Mobile Home Park Mortgage Loans & Services Mortgages - Reverse Movers & Storage Movie Theaters Moving Services Murals Museums Music - Instruction/Entertainment Musical Entertainment Nail Salons Nannies Networking Organizations Newspapers Non-Profit Notary Notary - Mobile Nursery - Trees, Plants, Etc. Retail Nursing Homes Nutrition & Fitness Nutrition Education Nutritionist Office & Desk Space Rental Service Office Furniture & Equipment - Dealers Office Services - Offsite Office Supplies Oil Change & Lube Olive Oil Optometrists & Opticians Oral & Maxillofacial Surgery Orchestras, Symphonies & Bands Organizational Management Consultants Organizing Services Orthopedic Appliances Pain Management Paint - Retail Paint and Sip Painting - Decorative & Faux Finishes Painting Contractors Paper Destruction Party Favors, Supplies & Services Party Planners Party Rental & Tenting Party Supplies Renting Patio Covers Patio Furniture Payroll & Taxes Payroll Services Performance Training Personal Fitness Trainers Personal Life Coaching Personal Services & Assistants Pest Control Services Pet - Boarding Pet Grooming Pet Sitting Pet Supplies & Foods Retail Pharmacies Phone Answering Service Photographers Physical Therapists Physicians Physicians - Cosmetic, Plastic & Reconstructive Surgery Physicians - Dermatology Physicians - Family Medicine Physicians - Integrative Medicine Physicians - Medical Aesthetics Physicians - Obstetrics & Gynecology Physicians - Orthopaedic Surgery Physicians - Plastic & Reconstructive Surgery Physicians - Sports Medicine Physicians - Urgent Care Piano Sales & Service Company Picture Framing Pizza Plumbing Contractors Plumbing Service & Repairs Political Party Pond Supplies Pool Service & Repair Popcorn & Candy - Retail Portable Toilet Rental Portfolio Management Pottery - Retail Presentation Services Printers Printing Equipment Printing Supplies Professional Photo Organization Property Management Psychics Psychologists Psychotherapists Public Relations Consultants Publishers - Book, Periodical & Magazine Publishers - Maps Rafting Real Estate - Loans Real Estate - Appraisers Real Estate - Broker Real Estate - Commercial Real Estate - Developers & Developments Real Estate - Equestrian Properties Real Estate - Residential Refrigeration Equip - Commercial Sales & Serv Rehabilitation Services Relocation Services Remodeling & Repairing Building Contractors Remodeling Contractors Researchers - Sonics & Ultrasonics Restaurants Restaurants - Desserts Retirement & Life Care Communities & Homes Retirement Planning Retreat Facilities Sales/Training/Seminars Satellite & Cable TV Equip & Systems Schools Schools - Colleges & Universities Schools - Pre School Screen Printing Screens/Retractable Secretarial Services Security Serv & Systems Self Defense Products Senior Assisted Living Senior Citizen Services Service Stations - Gas & Oil Sheriff's Department Shipping Services Shoes - Retail Shopping Centers & Malls Shower Doors & Enclosures Shuttle Service Signs Ski Resorts Skin Care Sober Living Soccer Training School Social & Human Servs for Individuals & Families Software / Technology Solar Products - Dealers & Services Sound Systems & Equip Spas, Fireplaces & Stoves Speech Therapy Spinning & Weaving Sporting Goods Sports Recruiting Sports Team Statuary Steam Cleaners Storage - Self Service Suicide Prevention Supervisors Surgery Centers Swimming Instruction Swimming Pool - Designing & Consulting Swimming Pool Contractors Swimming Pool Renovations, Repair & Serv Synagogues Tailors Tanning Salons Tax Return Preparation Taxes Consultants & Representatives Tea & Coffee Bar Telecom Consulting Telecommunications Telecommunications Dealers & Installation Temporary Services Theatre - Youth Therapists - Marriage & Family Tile Cleaning, Refinishing & Sealing Tire Dealers- New Title Companies Toner Cartridges Tourism Toys - Retail Trade Shows, Expositions and Fairs Transportation Travel Agencies Tree Service Tutoring / Academic Mentoring Unclaimed Funds Retrieval Services Uniforms Urgent Care Clinic Veterinarians Video Games Video Production & Editing Vineyard Virtual Assistant Virtual Tours Warehouse Clubs Water & Sewer Utility Company Water Companies Bottled & Bulk Water Damage Emergency Service Water Damage Restoration Water Sports Web Site Design Wedding - Consultants Weight Management Welcome Services Window Shades & Treatments Window Cleaning Window Tinting Windows Wine Bars Wine Cellars Wine Consultants Wine Storage Wine Tours Wineries Winery Associations Wines - Retail Wire, Cable, Fiber Obtics Yoga/Meditation Yogurt Additional Directory Categories Primary Directory listing is complimentary Additional Directory listings are $35 each **Hold CTRL on your keyboard to select multiple categories** none Number of Full Time Employees: Number of Part Time Employees: Annual Membership Investment High School Scholarship Donation $ Voluntary BACPAC Contribution $ Additional Categories Cost $ One-Time Administrative Processing Fee $ Total: $ The contents of this box are for testing purposes. This box will be removed when the form goes live. Full-Time Employees Part-Time Employees AdditionalCategories Additional Categories Cost NumberOfAdditionalCategories High School Scholarship Donation Voluntary BACBAC Contribution Annual Dues (charged to card) Fee (charged to card) tempValueForDropDown1 Payment Type * Credit Card Check NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks. Automatic renewal annually? * Yes No Membership dues are not deductible as charitable contributions for Income Tax purposes. Dues may be considered ordinary and necessary business deductions. 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