Member Application

While the Chamber prefers to meet with you one-on-one before you join, we understand that your schedule may not allow for that opportunity. To make it easier, we have created this online application process. Before completing the online application, please visit our Member Benefits page to familiarize yourself with all the Chamber has to offer.
Business Information
Employees: *
Physical Address

Mailing Address

Social Networking:
Primary Contact Information
Contact Preference:

Address

Billing Contact Information
Contact Preference:

Address

Membership Options
Membership Package: *
Additional Opportunities:
We will contact you with additional information.
Payment Option:
In the effort to fight spam, please provide the answer to the following question.

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301 E. Main Street, Madison, IN 47250 – (812) 265-3135 – lbloos@madisonindiana.com