Member Application

Thank you for your interest in becoming a member of the Jefferson County Chamber of Commerce. Please complete and submit the following application. If you have any questions, please contact our offices at 740.282.6226 or email Casey Peters, Investor Relations Coordinator, at cpeters@jeffersoncountychamber.com.
Business Information
Employees: *
Physical Address

Mailing Address

Primary Contact Information
Contact Preference:
Social Networking:

Address

Billing Contact Information
Contact Preference:
Social Networking:

Address

Membership Options
Membership Package: *
Additional Opportunities:
We will contact you with additional information.
Payment Option:
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