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 - $250.00 annual dues.

Non-Profit Membership - $150.00 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.

Business Categoy:(*)

Please select a Business Category.

Membership Type:(*)

Please select a Membership Type.

Contact Person:(*)

Please input a Contact Person.

Voting Person:(*)

Please input a Voting Person.

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

Please input a Business Name.

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 City:(*)

Please input a Billing City.

Mailing State:(*)

Please input a Billing State.

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:

Invalid Input

Home:

Invalid Input

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 (255 characters or less):(*)

0/255

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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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# of Employees:

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# of Rooms:

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Sq. Footage:

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Seating Capacity:

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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.

I give permission for the Chamber to post my specials on Beach-Fun.com on my behalf. (*)

Yes No

Please choose Yes or No to give the Chamber permission to post your specials on Beach-Fun.com.

Membership Application

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