Member

Lead. Connect. Grow. Thank you for your interest in becoming a member of the Bellevue Harpeth Chamber of Commerce.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Referred By:

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

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter

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:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter

Address

Same as Member Address

Line 1: *

Line 2

City: *

State: *

Postal Code: *

Country: *

Membership Options

Membership Package: *

Community Leader: Please contact us to determine the fee.
Small Business: $275.00
Businesses with 4-49 employees Entrepreneurial: $225.00
For those with fewer than 4 employees/independent contractors, including the owner. Corporate: $325.00
For companies for more than 49 employees in the Bellevue area. Individual Membership: $150.00
You may not join at this level if you are affiliated with a business in any way. Includes retirees, professionals in transition, government employees, and community volunteers. Nonprofit Organizations: Please contact us to determine the fee.
501c3 organizations with 1 or fewer employees

Payment Option:

Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address