Member Application

Contributions, dues or gifts to the Middlesex County Chamber of Commerce are not tax deductible as charitable contributions. However, they may be deductible in part or in total as ordinary and necessary business expenses.

Membership Packages:
Membership is based on your company's fulltime employee count. Step 5 of our application will allow you to select your fulltime employee count based on the table below. Semi Annual payment options are available on memberships above 51 employees or a non profit membership. All other memberships are paid annually.

1-5 Employees $220.00
6-10 Employees $250.00
11-25 Employees $345.00
26-50 Employees $470.00
51-100 Employees $595.00
101-150 Employees $845.00
151-200 Employees $1100.00

Retired Individual $75.00
Non Profit Organization $200.00 (plus $2.50 each additional employee over 5, billed on separate invoice)

Killingworth Businesses: Please contact us to determine the fee
Banks, Credit Unions, Municipalities, Utilities: Please contact us to determine the fee

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category:

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Billing Preferences (Choose One):

Print or Email: *

Company Owner Information:

President/Owner Name: *

President/Owner Email Address: *

Company HR Information:

HR Representative Name (If Applicable):

HR Representative Email (If Applicable):

Analytics Information:

How did you hear about us?: *

Who refered you?:

Is your company owned, operated, or controlled 51% or more by an individual that meets any of the following?:

Select a Option:

Chamber Programs of Interest:

Select a Program:

Additional Programs:

Chamber Annual Events of Interest:

Select a Event:

Additional Events:

Committees & Councils of Interest:

Select a Committee or Council:

Additional Committees & Councils:

Ribbon Cutting Information:

Would you like to have a ribbon cutting ceremony?: *

Chamber Advertising :

Would you like to be contacted about website and or email advertising? If so please check the box.:

Chamber Insurance Program (You must have a min of 3 employees):

Would you like to know more information about our insurance discount program? If so please check the box.:

Full time employees count for insurance program only?:

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Social Networking:

LinkedIn Facebook Twitter Instagram YouTube Yelp TikTok Open Table Grubhub Houzz Pinterest Google My Business AVVO Vimeo Justia Lawyers DoorDash Uber Eats Indeed Untappd Book Appointment Amazon

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Fax:

Email:

Contact Preference:

Email Phone

Login:

Password:

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Dues Employee 1-5 : $220.00
1 to 5 Fulltime Employees Dues Employee 6-10: $250.00
6 to 10 Fulltime Employees Dues Employee 11-25: $345.00
11 to 25 Fulltime Employees Dues Employee 26-50: $470.00
26 to 50 Fulltime Employees Dues Employee 51-100: $595.00
51 to 100 Fulltime Employees Dues Employee 51-100 (Semi Annual): $297.50
Semi Annual 51 to 100 Fulltime Employees Dues Employee 101-150: $845.00
101 to 150 Fulltime Employees Dues Employee 101-150 (Semi Annual): $422.50
Semi Annual 101 to 150 Fulltime Employees Dues Employee 151-200: $1,100.00
151 to 200 Fulltime Employees Dues Employee 151-200 (Semi Annual): $550.00
Semi Annual 151 to 200 Fulltime Employees Dues Non Profit : $200.00
Non Profit Annual Dues $200.00 Plus $2.50 each additional employee over 5 Dues Non Profit (Semi Annual): $100.00
Not For Profit Semi Annual Dues $100.00 Plus $2.50 each additional employee over 5 Dues Retired Membership: $75.00
Retired Membership One Person $75.00

Payment Option:

Charge my credit or debit card

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