Important Note: While we continue the transition to our new database, membership applications are still being processed manually and your membership may not be added to the database the same day. Please wait until you receive notification that your membership application has been processed before you register for an event to ensure you receive member pricing.
Legal Corporate Name:
Business Name:
Date Established:
Name Prefix :
First Name:
Last Name:
Title :
Mailing Address:
City:
State:
Zip:
Phone:
Cell Phone (optional):
Fax:
Email:
Business Website:
Business Category: --Select Your Business Category-- Accountants Advertising Advertising Specialties Aerospace & Defense Aerospace Manufacturing Aggregates Agriculture Aircraft Services Airlines Airport Ambulance Service Apparel Apparel Manufacturing Appraisers & Surveyors Architects & Design Services Assisted Living & Care Facilities Associations Attorneys & Legal Attractions Audio Visual Equipment & Services Auto Repair & Service Automotive Component Manufacturing Autos - New & Used Bakeries Banks Banquet & Catering Bars, Breweries & Distilleries Building & Construction Supplies Building Materials Manufacturing Business Services Car & Truck Rental Car Wash Cemeteries & Funeral Homes Charitable Organizations Charters, Taxis & Limosines Chemicals Chiropractors Clinics / Specialty Health Facilities Commercial Construction Commercial Property Maintenance Commercial Real Estate Computer Consulting Computer Hardware & Software Computer Networking Construction Products & Services Consultants Consumer Services Convenience Stores Credit Unions Data Management Dental Services Department Stores Dry Cleaners & Laundry Early Childhood Education Economic Development Educational Programs & Training Educational Services Electrical & Mechanical Contractors Electronics & Robotics Manufacturing Employee Benefits Engineering Entertainment Environmental Services Excavating Family Practice Financial Advisors & Investments Financial Services Fire Protection Equipment Manufacturing Fleet Leasing Flooring Florists Food & Beverage Distributors Food Brokers Food Production Foundations Foundries Galleries Gifts Golf/Private Clubs Government Groceries & Markets Healthcare Services & Products Home Furnishings Home Health Services Hospitals Hotels / Motels Household Services Human Resource Services HVAC Individuals Industrial Equipment & Supplies Industrial Machinery Information Technology Services Insurance Brokers & Agents Insurance Plans Jewelry Stores Labels/Barcodes/RFID Labor Organizations Laboratories Landscape Services Libraries Linens & Uniforms Logistics Provider Mailing & Shipping Manufacturers Manufacturers Rep Marketing Measurement Controls & Devices Media Medical Equipment & Supplies Medical Equipment Manufacturing Meeting Services Mental Health Services Metals Molds, Chemicals, Plastics & Rubber Moving & Storage Museums Office Furniture, Equipment & Supplies Packaging Materials and Supplies Parking Paving Performing Arts Pet Services Pet Stores Petroleum & Natural Gas Pharmacies Photography & Videography Physicians & Surgeons Plumbing Printing Publishing Realtors, Agents & Brokers Recycling, Waste Management Religious Research & Development Residential Construction Residential Real Estate Restaurant Equipment Restaurants Roofing Salons & Spas Schools - Colleges & Universities Schools - Primary & Secondary Security & Safety Senior Living Shopping Centers & Malls Signs Specialty Food Specialty Shops Sports & Recreation Staffing & Employment Telecommunications Telemarketing Title Companies Tooling & Specialty Machining Towing Transit Transportation & Logistics Travel Agents Truck Parts & Supplies Truck Sales & Service Trucking Utilities Wholesale Distributors Windows & Doors
# Full Time Employees:
# Part Time Employees: (each part time employee is counted as one half employee)
How did you hear about us?
Reason(s) you are joining the chamber: ---Hold Ctrl button to select multiple--- Business Advocacy Chamber Programs DALA (Our business would like to join the Dayton Area Logistics Association) Exposure/Networking Healthcare Participation Member Savings Program Support Business Community
Dayton Area Chamber Representative: --Select Your Dayton Area Chamber Representative-- Logan Marcum - (937) 226-8262 Chamber Ambassador - (937) 226-8260 Chamber Board of Trustees Member - (937) 226-8260 Chamber Staff Member - (937) 226-8260 Health Insurance Broker - (937) 226-8260 House Account - (937) 226-8260
Same as business information: (Skip this section if checked)
Billing Contact:
Billing Address:
Billing City:
Billing State:
Billing Zip:
Billing Phone:
Billing Fax:
Billing Email (Chamber use only):
I've reviewed the cost and benefits and choose the Chamber Plus Membership
Dues: $ You must enter the number of full and part time employees in the Business Information section for your dues to be calculated. If you have 300 or more employees or have questions, please call 937-226-1444 and ask to speak with a Member Development Representative.
Application Fee: $
Total Investment: $
Payment Method: VISA MasterCard AMEX
Card Number:
Expiration Date:
Security Code: Note: Your credit card will not be charged until your application information has been verified.
Note: In compliance with federal law, 90.05% of your dues are deductible as a business expense; 9.95% is non-deductible as it supports lobbying activities of the chamber.
By submission of this form you are authorizing the charge for the membership fees to your credit card. If the amount submitted for membership dues or associated fees was incorrect or the total was calculated incorrectly, the chamber will contact you so you can be billed for the correct amount. If you have any questions or concerns prior to submission, please call 937-226-1444 and ask to speak with a Member Development Representative. Membership in the Dayton Area Chamber of Commerce constitutes express permission for the chamber to transmit by fax to the numbers provided, through e-mail or written materials, including but not limited to those relating to goods, services, meetings or notices thereof. By submission you indicate your understanding of the above and request for membership.