Rockville Chamber of Commerce

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FOR NEW MEMBER APPLICATIONS ONLY

Make payments to:

Pay by Credit Card online after submitting your application below or send a check to: Rockville Centre Chamber of Commerce, Inc., PO Box 226, Rockville Centre, NY 11571

Subscription Type*

Standard Membership - $300.00
– One seat at the monthly dinner or breakfast meetings
– Listing in the Member Directory
Platinum Membership - $600.00
– Two seats at the monthly dinner or breakfast meetings
– Listing in the Member Directory
– Your businesses logo on RVC 10k T-shirt

I would like to pay by check

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Business Name *

Address *

Address Line 2

City *

State *

Zip Code *

Business Phone *

Cell Phone *

Fax

Company Website

Instagram

Twitter

Facebook

Contact Person *

First: Last:

Contact Persons Position *

Contact Person Info (If different from above)

Business Owner (If different from Contact Person)

Business Owner Cell Phone

Type of Business*

Describe Your Business

Are you willing to offer Chamber members discounts?

What are your major concerns as a business owner/manager in RVC?

What can the Chamber do to help your business and/or address your needs?

What is three times two equal as a number? *

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