Rexburg Chamber Membership Sign Up

Rexburg Chamber Membership Sign up

Please complete the form below. The Chamber Director will review the form and notify you of the exact membership fee which will be required.

Company Name:

Main Contact:

Physical Address:

Mailing Address:

Phone:

Fax:

Email:

Website Address:

# of Part-time Employees:

# of Full-time Employees:

Amount of Annual Dues:

Referral Member:

I would be interested in being involved in a committee:

Yes No

Description of your business: