Business Name *

Business Category * Select OneAccounting / BookkeepingAdvertising & MediaArchitectArts, Culture & EntertainmentAutomobile/MotorcycleBankingBeautyBrewery & Tap RoomBusiness & Professional ServicesCateringChiropractorChurchesCommercial DevelopmentCommunity / Non ProfitComputer & IT ServicesConference CenterConstructionCounseling ServicesDentistDentist / CosmeticDentist / Oral SurgeonDentist/OrthodontistEducationEducation/Tutoring/LessonsEmployment StaffingEntertainment/AttractionEntertainment/Movie TheatreEntertainment/MusicEntertainment/ProductionEntertainment/TheatreEnvironmental / PreservationEvent Management/PlanningEvents/AuctionsFinancial AdvisorGas Station/Car WashGovernmentGroceryHealth & BeautyHome ImprovementHome Revitalizing ServicesInsuranceLaundry ServicesLegal ServicesLodgingManuafacturing/Perfume/FlavorsManufacturing and TechnologyManufacturing/Health & WellnessManufacturing/MachiningManufacturing/Technology/DistributionMassage TherapistMedia/AdvertisingMedical Billing / MediCALMedical CenterMortgage ServicesOptometristPersonal Service & BeautyPet SittingPet SuppliesPharmacyPhotographyPhysical TherapistPrinting & DesignProperty ManagementPublic Relations FirmPublic UtilitiesReal EstateReal Estate & ConstructionRestaurant, Food & CateringSenior CommunitySenior ServicesService Organization/Non-ProfitShopping & Specialty RetailSports TeamsSports/Fitness/DanceStorage FacilitiesTax PreparationTechnology/MicroscopesTechonology/Cloud ComputingUtilitiesVeterinarianWine & Spirits/Party SuppliesWineries & Wine Tasting

Billing Address *

City *

State/Province *

Zip/Postal Code *

Country *

Email *

Phone Number *

Use this billing address as my business address.

First Name *

Last Name *

User Name *

Password *

Membership Level * Non Profit & Individual: $150Member (1-5 Employees): $225Member (6-10 Employees): $275Member (11-20 Employees): $350Member (21-50 Employees): $400Member (51-100 Employees): $500Member (101-200 Employees): $625Member (201+ Employees): $700Bronze Sponsor: $1000Silver Sponsor: $2000Gold Sponsor: $3000Double Gold Sponsor: $5000Community Sponsor: $7000

Processing Fee

Total Due:

Payment Method:  WC Payments

Terms & Conditions Statement: Data submitted through this form will be used for the purpose of creating your directory listing. Please see our Privacy Policy and Terms & Conditions for more information on how we protect and manage your data.

I consent to having Scotts Valley Chamber of Commerce collect my data via this form.
Upon acceptance of my membership into the Scotts Valley Chamber of Commerce, I agree to uphold the vision and the mission of the Chamber by promoting businesses and fellow members as well as a strong economy and community.