Join the Champaign County Chamber of Commerce - Champaign County Chamber of Commerce & Visitor's Bureau

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Champaign County Monte Carlo Night

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 info@champaignohio.com 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!

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Champaign County Chamber of Commerce BBB Business Review

Champaign County Chamber of Commerce
127 W. Court Street, Urbana, OH 43078
Phone: (937) 653-5764
Email: info@champaignohio.com
Office Hours: Mon-Fri, 9.a.m.-4 p.m.

© Champaign County Chamber of Commerce
Website by Berry Digital Solutions, LLC
Urbana, Ohio

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