Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Social Network Addresses

Facebook

Threads

Instagram

TikTok

YouTube

Other

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Annual Chamber Membership - Paid in Full $ 350

Derby Chamber of Commerce membership for one year.

Annual Chamber Membership - Paid Monthly $ 32

Derby Chamber of Commerce membership paid in $30 monthly installments with a credit/debit card or checking account.

Additional Options:

New Resident Welcome Bag Insert $125 one time

Every new resident that moves to the City of Derby receives a Derby Chamber of Commerce welcome bag. This add-on will allow you to place any promotional item of your choice in each welcome bag for one year. This is a great way to market your business to approximately 1,000 new residents each year!

Additional Location $125 one time

Additional locations may be added to an annual membership at a reduced rate of $125, allowing the marketing of other locations. Businesses with second locations or branch offices must share common ownership and business category.

McConnell Action Group $50 one time

McConnell Action Group (MAG) is a community program that helps support men, women and families of McConnell Air Force Base. MAG membership gives you access to exclusive invitations to McConnell Air Force Base events, tours and ceremonies.

Chamber Ambassador Group

Becoming a Chamber Ambassador is an excellent way to market your business and network among other members. Your increased involvement helps the community connect a face to your business and provides you with added visibility. Chamber Ambassadors receive exclusive invitations to ribbon cuttings and occasional VIP events, are recognized on the Chamber's website and social media accounts and get a personalized Chamber magnetic name tag.

Event Sponsorships

Please select this add-on if you are interested in sponsoring an event. Chamber staff will get in contact with you about available options!

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Create Account

Step 4:

Billing Contact

Create Account

Step 5:

Membership Package

Additional Options:

Payment Option

Derby Chamber of Commerce