Membership Application

Join the State's largest local Chamber of Commerce & Visitor's Center! To apply for Chamber membership, please complete and submit the form below.

Annual business membership dues are as follows:

Business Membership - $235.00 annual dues.

Non-Profit Membership - $135.00 annual dues.

Patron Membership - $150.00 annual dues.

To download a copy of the membership application booklet, please click here.

Items with a (*) must be completed in order to process the application.

Membership Type:(*)

Please select a Membership Type.

Business Name (as you wish to see it in print):(*)

Please input a Business Name.

Business Categoy:(*)

Please select a Business Category.

Contact Person:(*)

Please input a Contact Person.

Voting Person:(*)

Please input a Voting Person.

Business Address (physical location to be shown in print):(*)

Please input your Business Address.

Business City:(*)

Please input a Business City.

Business State:(*)

Please input a Business State.

Business Zip:(*)

Please input a Business Zip.

Mailing Address:(*)

Please input a Billing Address.

Mailing State:(*)

Please input a Billing State.

Mailing City:(*)

Please input a Billing City.

Mailing Zip:(*)

Please input a Billing Zip.

PHONE NUMBERS (please include area code)

Business Phone (to be shown in print):(*)

Please input a Business Phone.

Fax:

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Home:

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Cell Number:

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Web Address:

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Email Address:(*)

Please input a valid Email Address.

How you heard about the Rehoboth/Dewey Chamber?

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Choose a Method to Recieve Hot Sheets:(*)

Please select a method.

Business Description (100 words or less):

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# of Employees:

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# of Rooms:

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Sq. Footage:

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Seating Capacity:

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Estimated Payroll ($) - Winter:

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Estimated Payroll ($) - Summer:

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Open Year Round?:(*)

Yes No Please choose Yes or No.

If no, please list dates open:

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Member 2 Member Discount (optional)
Members can offer a discount to fellow Rehoboth Beach-Dewey Beach Chamber Members (i.e., 10% off purchase or services) If you would like to offer a discount, please enter it here:

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Comments/Questions

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IMPORTANT: Our printed membership application requires a signature in order to process the application. By choosing YES, you are agreeing to allow us to process your application without a signature and you acknowledge ownership of required business license(s).
If you choose NO, we must mail you an application form to be completed and signed in order to process your application

Process Application Without My Signature:(*)

Yes No Please select a signature option.

Billing Information Note: (You must provide the correct billing information for your card or your transaction will be declined)

Billing First Name:(*)

Please input a Billing First Name.

Billing Last Name:(*)

Please input a Billing Last Name.

Billing Address (address where your bill is mailed):(*)

Please input a Billing Address.

Billing City:(*)

Please input a Billing City.

Billing State:(*)

Please input a Billing State.

Billing Zip:(*)

Please input a Billing Zip.

Card Type:(*)

Card Number:(*)

Please input your Credit Card Number.

Card Expiration:(*)

CVV Code: (*)

Please input your CVV Code.

(*)

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