Member - San Rafael Chamber of Commerce, CA

Thank you for your interest in joining the San Rafael Chamber of Commerce! Please fill out the form below to join the Chamber. If you have any questions, please call 415-454-4163 or email frontdesk@srchamber.com.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Why are you joining the Chamber?: *

Who referred you to the Chamber?:

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: *

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

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

Password:

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

General Membership: See fee schedule to determine the fee and enter it below.
Non-Profit Membership: See fee schedule to determine the fee and enter it below.
Sole Proprietor: See fee schedule to determine the fee and enter it below.
Second Site Membership: See fee schedule to determine the fee and enter it below.
Retired/Individual/Community Supporter Membership: See fee schedule to determine the fee and enter it below.
If using fee schedule, enter fee here:

Additional Fees:

Administrative Fee : $65.00
One-time administrative fee of $65

Additional Opportunities:

We will contact you with additional information.

Save time with Automatic Renewals : $0.00
I authorize my membership to be charged automatically to my credit card on my annual renewal date (NOTE: PLEASE also check "Securely Save this Card" when you enter your Credit Card information)

Payment Option:

Charge my credit or debit card

Print Application

Pages

Members

Categories

Quicklinks

Events

Pages

Members

Categories

Quicklinks

Events

Promoting Business, Building Community

Pages

Members

Categories

Quicklinks

Events

Pages

Members

Categories

Quicklinks

Events

Member Application

Mailing Address

Address

Address

Promoting Business, Building Community