Directory Verification

Help us ensure your business/organization is receiving all the benefits of your Chamber membership by verifying important contact and mailing information.

Please confirm or change the primary and billing contact information on your membership account using the form below. Chamber staff rely on the accuracy of your provided information to share important updates regarding your membership in the Chamber. If you have questions about your membership, don’t hesitate to contact us HERE.

Company Name(Required)

Business Email(Required)

Business Phone(Required)

Business Fax

Total # of Full-Time Employees(Required)

Total # of Part-Time Employees(Required)

Physical Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Different Mailing Address?

Check if mailing address is different than above.

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Main Representative (primary contact for Chamber info)(Required)

First Last

Main Representative Email Address(Required)

Main Representative Job Title(Required)

Different Billing Representative? (primary contact for accounts payable)

Check if billing representative is someone other than the Main Representative above.

Billing Representative

First Last

Billing Representative Email Address

Different Billing Address?

Check if billing address is different from above.

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Comments

This field is for validation purposes and should be left unchanged.