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Membership Application
Apply online to become a member of the Stoughton Chamber of Commerce

Thank you for your interest in becoming a member of the Stoughton Chamber of Commerce. By applying online, your information is instantly entered into our system - which saves us tremendous time, cost and reduces errors over manual entry. Most questions relate to your contact information.

If you have any questions, please feel free to call us directly at 1-888-873-7912, or email us at administrator@stoughtonwi.com for a fast response. Once your application is submitted, we will review it and contact you to answer any questions and discuss payment options.
 
All fields shown in red are required.
Membership Type  Employees:  Full Time:   Part Time:
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Displayed Contact Information
*Company and contact information as it will be displayed on the public web site.
Member's Name (Company Name or Org)
Address 1
Address 2 Phone Main
City Phone Alt
State/Prov (2 Digit Code) (ie: WI) Phone Toll-Free
Zipcode Phone Fax
Country (2 Digit Code) (ie: US)    
Company Email Address
Web Site Enter the full address including http://
Description of Business
Business Hours
Directions
Searchable Keywords
LinkedIN.com Link
Facebook.com Link


Mailing & Billing Details
*The following information is used exclusively for Chamber communications.
Mailing Address Use Display Profile Above Billing Address Use Display Address Above
Address 1 Billing Contact Person Req'd
Address 2 Address 1
City Address 2
State (2 Digit Code) (ie: WI) City
Zipcode State (2 Digit Code) (ie: WI)
Country (2 Digit Code) (ie: US) Zipcode
    Country (2 Digit Code) (ie: US)


First Member Contact & Members Area Login
*Enter the primary contact details for this member. This will become the Primary Contact. Additional contacts can be added after the Membership is approved.
Prefix Use Display Profile Above For Address
First Name Address 1
Last Name Address 2
Suffix City
Position / Title State (2 Digit Code) (ie: WI)
Phone - Main Zipcode
Phone - Alt Country (2 Digit Code) (ie: US)
Phone - Cell Email Opt-In? Yes, I want to receive the Chamber Newsletter and related announcements via email.
Email Address Login Password
Members Area Access Optional: Auto-Generate a random password instead
Enter the following security code to submit.