Membership Application

Instructions

Please review the pull down menu options carefully and select the option that best describes your business or not for profit. If you need to confirm which option to select, please contact Angela at 973.379.1198, you can call or text. Or you can email Angela at angela@millburnshorthillschamber.org.

Select An Option

Financial Price of Level Selected (Price Range: $425 - $1060 Annually)

Select Level

Industry Price of Level Selected (Price Range: $320 - $425 Annually)

Select Level

Medical & Law Price of Level Selected (Price Range: $320 - $530 Annually)

Select Level

Community (501(c)3) $215 Annually

Service & Retail Price of Level Selected (Price Range: $215 - $425 Annually)

Select Level

Sole Proprietor $170 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

Membership Application

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