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Join the Davis Chamber today!
Fill out this brief online application to start your membership in the Premier business organization in Northern Utah.

Please click here for a printable version of our application (pdf)

Company Information

Company:

Principal Officer:

Title:

Representative:

First: Last:

Street Address:

City, State Zip:

Telephone:

Fax:

E-mail Address:

Web Site URL:

Number of Employees:

Full-time Part-time

Business Category:

About your business:

Referred by:

Firm type:

Membership Dues

Investment:

Number of Employees	Investment
Home-based/Retirees	$175.00
0 - 4	$250.00
5 - 9	$300.00
10 - 19	$350.00
20 - 49	$475.00
50 - 74	$750.00
75 - 99	$1,000.00
100+	$1,200.00
Executive Circle	$10,000.00 - Founder's Club
	$7,500.00 - Gold
	$3,000.00 - Silver
	$1,500.00 - Bronze
One-time Set-up Fee	$35.00
Additional Representative*	נ$125.00 each
TOTAL $

Additional Representatives (if applicable)

#	Name		Phone	Fax	Email	Website
	First	Last
1
2
3
4
5
6
7
8
9
10

Payment Information

Pay online using credit card
Please invoice me

Account Information

Username:

Password:

Enter Code Shown:

Please note:

Investment includes one representative
Additional representative(s): $125.00 each
Additional Representatives must be located at the same address as the main representative to qualify.
Your email address will remain confidential and will only be used by the Davis Chamber of Commerce to send chamber publications.