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Brazosport Area Chamber of Commerce

The Economic Engine of Brazoria County

300 Abner Jackson Parkway, Lake Jackson, TX 77566
Phone: 979-285-2501 Fax: 979-285-2505
Email: chamber@brazosportchamber.org

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Membership Application

Membership Application PDF Download

Chamber Membership Application

THE ONLY ADDRESS THAT WILL BE PUBLISHED IS THE LOCAL STREET ADDRESS. WE DO NOT PUBLISH P.O. BOXES.

Type of Membership*
- New Membership
- Renewal of Existing Membership
Business Information
Name of Business*
Name of Business*
Local Contact Person*
Salutation First Last
Mailing Address*
Mailing Address Line 1 Mailing Address Line 2 City State ZIP Code
Are the mailing address and BILLING address the same?
- Yes, copy the mailing address to the billing address
Billing Address*
If you will be paying for your membership by credit/debit card, please make sure that this billing address is the same one used for your card.

Street Address Address Line 2 City State ZIP Code
Are the mailing address and the STREET address the same?
- Yes, copy the mailing address to the street address
Local Street Address
Street Address Address Line 2 City State ZIP Code
Phone 1*
Phone 2
Fax
Website
Email*
Classifications
Choose classifications to make it easy for visitors to find your business via our member directory. Please select one top-level classification and up to three additional sub-classifications.
Choose a top-level classification*
- Advertising & Media
- Agriculture, Fishing, and Wildlife
- Arts, Culture, and Entertainment
- Automotive, Aviation, and Marine
- Business & Professional Services
- Communications
- Computers, IT, and Technology
- Construction
- Education
- Employment & Staffing
- Family, Community, and Non-Profit
- Finance & Insurance
- Government & Municipal
- Healthcare
- Home & Garden
- Industrial, Manufacturing, and Petrochemical
- Lodging, Travel, and Tourism
- Other
- Personal Services & Care
- Pets & Veterinary
- Public Utilities & Environment
- Real Estate
- Religious Organizations
- Restaurants, Food, and Beverages
- Shopping & Specialty Retail
- Sports & Recreation
Sub-classifications
Choose up to three additional classifications for your business.
Classification 1
Classification 2
Classification 3
Investment Schedule
Employees*
Enter the approximate number of local full-time employees
General Category
Choose the appropriate investment level based on the number of full-time employees at your business.
Special Categories
Choose a special membership category
- Apartment Complexes ($1.00 per unit, minimum of $250)
- Hotels/Motels ($2.00 per Unit, Minimum of $250)
- Financial Institutions ($15.00 per Million, Minimum of $250)
- Individuals ($75 per Person)
- Non-Profit Organizations ($195 Annually)
- None
Additional Units Quantity*
Enter the number of additional units (above 250). The rate for hotels/motels is $1.00 per unit.
Price: $1.00
Additional Units Quantity*
Enter the number of additional units (above 125). The rate for hotels/motels is $2.00 per unit.
Price: $2.00
Additional Assets Quantity*
Enter the number of additional assets (above $17 Million). The rate for financial institutions is $15.00 per Million. For example, a financial institution with $20 Million in assets should enter “3”,” as the first 17 Million are included in the base rate of $250.
Price: $15.00
Services Information
Choose additional services
- A Web Link from our website to yours (call for pricing)
- Mailing labels for only $75
- Membership disk for only $75
- A flyer attachment or advertisement in our newsletter with over 700 copies distributed per issue for only $100
Mailing Labels (hidden field – do not delete)*
Price:
Membership Disk (hidden field – do not delete)*
Price:
Flyer attachment (hidden field – do not delete)*
Price:
Payment terms*
Would you prefer to pay annually or semi-annually?
- Annually
- Semi-Annually
Payment form*
How would you prefer to make your payment?
- Check mailed to the Brazosport Chamber
- Online via credit/debit card
50% Discount for semi-annual membership (Hidden – do not delete)*
Price: $0.00
Subtotal (hidden – do not delete)
Total
$0.00

Credit Card

Cardholder Name

Card Details

Notes/Special Information
Include any notes for our Chamber staff regarding this membership.
Spam Protection
Email
This field is for validation purposes and should be left unchanged.

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The Brazosport Community includes eight cities:

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Clute

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Jones Creek

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300 Abner Jackson Parkway, Lake Jackson, TX 77566 · Phone: 979-285-2501 · Fax: 979-285-2505 · Email: chamber@brazosportchamber.org

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