Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

Postal Code

Step 2:

Additional Info

Business Description (200 char max)

Business Keywords (enter a space between words)

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Not-For-Profit

Legal Name

Business Type *

Looks good!

Why did you decide to join the Chamber? *

Looks good!

Has anyone from the Chamber staff been helping you? *

Looks good!

How did you hear about the Chamber? *

Looks good!

What is the biggest challenge your business is facing today? *

Looks good!

Are you interested in learning about member-exclusive cost-savings benefits?

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title

Phone *

Please add your phone number.

Cell Phone

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Connect Level Membership $ 450

Ideal for startups and businesses who have fewer than 19 employees.

Grow Level Membership $ 750

Ideal for a growing business that has fewer than 99 employees.

Build Level Membership $ 1,500

Ideal for established businesses who want to deepen their engagement.

Influence Level Investor $ 3,000

Ideal for established businesses who want to build relationships and create success.

Advocate Level Investor $ 5,000

Ideal for established businesses who want to impact the MADE region.

Lead Level Investor $ 10,000

Ideal for established businesses who want to leave a legacy in the MADE region.

Additional Options:

Community Basket $100 one time

Reusable tote of promotional items delivered to all new residents in the Mason City School District. Over 1,000 totes delivered every year.

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Step 2:

Additional Info

Step 3:

Primary Contact

Create Account

Step 4:

Billing Contact

Create Account

Step 5:

Membership Package

Additional Options:

Payment Option

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