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Member Application

Please complete all the fields in the application below and submit online. Credit card payments can be made online or over phone and checks can be mailed to Sachse Chamber of Commerce, 5560 Highway 78 Sachse, TX 75048.
Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees: *

Full-time Part-time

Comments / Questions:

Physical Address

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Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Fax:

Email: *

Contact Preference:

Email Phone

Login: *

Password: *

Social Networking:

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Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Entrepreneur : $200.00
1 - 3 Employees Large Business: $300.00
4-30 Employees Corporate: $750.00
31 + Employees Branch: $100.00
Associated with a Large Business or Higher Platinum: $1,500.00
Educational: $50.00
Individual School Non-Profit: $125.00
No Employees Personal: $100.00
No Business Affiliation

Payment Option:

Bill me Charge my credit or debit card

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