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Champaign County Business Advantage Program
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100th Anniversary
Champaign County Chamber of Commerce Application
*
Indicates required field
Company Name (as you would like it displayed)
*
Physical Address
*
Line 1
Line 2
City
State
Zip Code
Country
Mailing Address (if different)
*
Line 1
Line 2
City
State
Zip Code
Country
Primary Phone Number
*
(xxx) xxx-xxxx format
Cell Phone Number (if applicable)
*
CONTACT INFORMATION (FOR CHAMBER MEMBER LISTING ON WEBSITE)
Primary Contact
*
Primary Contact Title
*
Email
*
Primary Contact Phone Number
*
Optional Info
Facebook Page URL
*
Website
*
Fax Number
*
Billing Info
Billing Contact
*
Billing Contact Title
*
Email
*
Phone Number
*
Number of Employees (Full-Time & Part-Time)
*
Type of Business
*
Financial
Government Office/Agency
Manufacturing
Publishing
Non-Profit
Professional Service (requiring state licensure)
Public Utility
Retail
Service
Agriculture
Construction
School
Other
If "Other", please list type of business
*
Questions? Comments?
*
Please contact us with any additional questions by email at
[email protected]
or by phone at
(937) 653-5764
. After submitting your form, we will contact you regarding payment of membership dues. We look forward to hearing from you!
Submit
Home
Membership
Members
Membership Info
Member Benefits
>
Champaign County Business Advantage Program
Join the Chamber
Chamber Events
Annual Dinner
Annual Golf Outing
Get Involved
Chamber Night at the Races
Local Ag Council
Champaign County Young Professionals
Leadership Champaign County
Lunch & Learn
Safety Council
>
Safety Council Enrollment Form
Visitors Bureau
Live
Government
Homes & Real Estate
Education
Health Care
Work
Business & Industry
Agriculture & Farming
Economic Development
Play
Champaign County Arts
Festivals & Events
Gloria Theatre
Dining
>
Carry Out/Delivery Menus
Shop Local
Visitors Bureau
Stay
Accommodations
Things To Do
Community Calendar
Places to Visit
Submit an Event
Self-Guided Scioto Street Tour
Visitors Bureau
Online Gift Store
Contact
About Us
Staff & Board of Directors
History
>
100th Anniversary