Member Application Business Information Company Name: * Leave Blank: Phone: * Website: * Email: * Business Description (200 char max): * Directory Category: * --- Select Primary Category --- Accountants & Bookkeeping Air Purification/HVAC Alcohol & Drug Rehabilitation Apartments & Townhomes Architects Art, Consultant, Appraiser Automobile Dealers; Automobile Services Automobile Repair/Services, Detailing Automobile Towing Awards/Trophies Banking & Banking Associations Barber Shops Beauty Services Beverages Boats, Charter/Tours Bowling Alleys Breweries/Beer Shops Business Consulting Business Support Products & Services Casinos Caterers Chiropractic & Massage Churches Cleaning Services Clubs, Organizations, Non-Profit Associations Contractors Copier and Printer Sales and Service Dentists Drywall Equipment & Supplies Education Engineering Services Entertainment Support Services Event/Meeting Planning & Production Financial Services Florists Government Officials/Municipalities Grocery Health Care Services & Hospitals Health Clubs/Personal Training/Exercise Studios/Weight Loss Home Furnishings & Accents Hotels & Other Accommodations Human Resource/Staffing Services Hypnotherapy Individual Member Information Technology & IT Consulting Insurance Services Interior Design/Home Improvement Landscaping Service Legal Services Libraries Locksmith Manufacturers Marketing Services Miscellaneous Mortgage Lending Services Movers/Relocation Services Music & Musical Instruments News Information Services Payment Processing Performing Arts Pet store supplies, grooming and services Photographers Printer Supplies & Repair Promotional Merchandise Property Management Public Speaker Real Estate Developers Real Estate Services Restaurants, Bars, Cafes & Specialty Foods Restoration Services Retail & Specialty Items Security Systems/Services Senior Services Shopping Associations Signs Special Events Venue Sports & Sports Clubs Telecommunications Travel Agencies/Tours Utility Companies Veterinary Services/Supplies Web Design & Development Wholesalers Wineries & Wine Stores Employees: * Full-time Part-time Comments / Questions: Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Mailing Address Same as physical address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Primary Contact Information First Name: * Last Name: * Title: Phone: * Fax: Email: * Contact Preference: Email Phone Login: * Password: * Billing Contact Information Same as Primary Contact First Name: Last Name: Title: Phone: Fax: Email: Contact Preference: Email Phone Login: Password: Membership Options Membership Package: * Small Business Membership 1: $325.00 For businesses with 1-3 employees (full-time). Small Business Membership 2: $385.00 For businesses with 4-6 employees (full-time). Small Business Membership 3: $425.00 For businesses with 7-10 employees (full-time). Small Business Membership 4: $520.00 For businesses with 11-15 employees (full-time). Mid-Size Business Membership 1: $550.00 For businesses with 16-20 employees (full-time). Mid-Size Business Membership 2: $675.00 For businesses with 21-30 employees (full-time). Mid-Size Business Membership 3: $825.00 For businesses with 31-40 employees (full-time). Mid-Size Business Membership 4: $1,000.00 For businesses with 41-60 employees (full-time). Corporate Membership 1: $1,400.00 For businesses with 61-80 employees (full-time). Corporate Membership 2: $1,800.00 For businesses with 81-100 employees (full-time). Corporate Membership 3: $2,000.00 For businesses with 100+ employees (full-time). Nonprofit Membership: $165.00 Membership fee for 501(c)3 organizations and individual community members (non-business). Additional Fees: Processing Fee : $30.00 $30 Membership Application Processing Fee Payment Option: Bill me Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Greater Kirkland Chamber of Commerce. I grant Greater Kirkland Chamber of Commerce permission to contact me regarding my account, news, updates, and offers. 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