Jefferson County Chamber Membership Application

Instructions

Please fill out the application form below and click the “submit application” button at the bottom of the page. We will process your application and contact you to make arrangements for your new member orientation and your initial dues payment upon approval.

Select An Option

Business Rate

Applies to: Businesses

Nonprofit Rate

Applies to: Non-Profit Organizations, Chartered Service Clubs, Churches, Educational Institutions, Government Agencies.

Banking

Professionals

Applies to: Accountants, Attorneys, and Doctors

Individual/Retired Member

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

Jefferson County Chamber Membership Application

Building Business. Building Community.