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, contact our offices at 740.282.6226.
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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