Member Application

SAVE THE DATE - UPCOMING EVENTS
Thank you for your interest! Please complete the following member information. If you have any questions, please call the Pleasant Hill Chamber of Commerce at (925)687-0700.
Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max):

Directory Category: *

Employees: *

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Referred By:

680 Business Club:

GAC Committee:

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: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Primary Contact Information

First Name: *

Last Name: *

Title: *

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram

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

Login: *

Password: *

Social Networking:

LinkedIn Facebook Twitter Instagram

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Community Impact Partner: Please contact us to determine the fee.
Our Community Impact Partner level of membership is all about collaboration, communication and sharing resources to benefit your company, the business community and residents of Pleasant Hill. By investing in programs and sponsoring events with the Pleasant Hill Chamber of Commerce that reflect your customers’ values, your employees’ community interests, and your company’s business priorities, we will both meet our goals and objectives. (Minimum investment as a Community Impact Partner is $2500) 1 employee: $240.00
2-5 employees: $285.00
6-10 employees: $315.00
11-15 employees: $355.00
16-20 employees: $425.00
21-25 employees: $475.00
26-30 employees: $535.00
31-50 employees: $650.00
51-75 employees: $675.00
76+ employees: $800.00
100+: Please contact us to determine the fee.
Non-Profit Organizations: $225.00
501(c)(3) organizations (ie. churches, clubs, schools and other community organizations.) Non-Profit verification required. 1 Employee Membership Dues - Paid Monthly: $20.00

Additional Fees:

Membership Processing Fee : $45.00
One time $45 application fee

Payment Option:

Charge my credit or debit card

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