Membership Application

 

Thank you for your interest in joining the El Dorado Hills Chamber of Commerce. We offer four convenient ways to join:

  1. ONLINE. Sign up online using the Member Application below.
  2. PHONE. Call us at 916-933-1335
  3. 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
  4. 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 *
Zip *
Phone *
Fax
Website
Email *
Main Contact
First Name *
Last Name *
Title
Business Phone *
Mobile Phone
Email *
Additional Contacts
Billing Address (if different)
Street
City
State
Zip
Additional Information
Business Description
Communication Preference
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: *
Primary Directory Category *
Additional Directory Categories
  • Primary Directory listing is complimentary
  • Additional Directory listings are $35 each
**Hold CTRL on your keyboard to select multiple categories**
If you've added a category, please tell us the type of listing:
Number of Full Time Employees:  
Number of Part Time Employees:  
   
$
$
$ 
$ 
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
*
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
*
Membership dues are not deductible as charitable contributions for Income Tax purposes. Dues may be considered ordinary and necessary business deductions.
Credit Card Information
Credit Card Type *
Credit Card Number * 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Credit Card Email Address
Please click submit only one time.  The transaction may take several seconds.