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Business Information Company Name: * Leave Blank: Phone: * Website: Email: * Business Description (324 char max): Employees: * Full-time Part-time Business Keywords (enter a space between words): Largest market served: Local / Regional Statewide Nationwide Global Diverse business status: Disadvantaged Business Enterprise (DBE) Minority Business Enterprise (MBE) Women's Business Enterprise (WBE) Veteran-Owned Small Business (VOSB) Status not listed No diverse certifications Primary purpose for joining: Visibility Networking Credibility Money saving programs Chamber events Seminars/workshops Advocacy & public policy Community pride Civic responsibility Other Physical Address Line 1: * Line 2: City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. 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Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Social Networking: LinkedIn Facebook Twitter Instagram Primary Contact Information First Name: * Last Name: * Title: * Phone: * Cell Phone: Email: * Contact Preference: Email Phone Login: * Password: * Address Same as Member Address Line 1: * Line 2 City: * State: * Postal Code: * Country: * --- Select Country --- Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bolivarian Republic of Venezuela Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo [DRC] Costa Rica Croatia Czech Republic Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Greece Greenland Guatemala Haiti Honduras Hong Kong Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Lao PDR Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia (Former Yugoslav Republic of Macedonia) Malaysia Maldives Mali Malta Mexico Moldova Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Principality of Monaco Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Serbia and Montenegro (Former) Singapore Slovakia Slovenia Somalia South Africa South Sudan Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan U.A.E. Ukraine United Kingdom United States Uruguay Uzbekistan Vietnam Yemen Billing Contact Information Same as Primary Contact First Name: Last Name: Title: Phone: Cell Phone: Email: Contact Preference: Email Phone Login: Password: Address Same as Member Address Line 1: Line 2 City: State: Postal Code: Country: --- Select Country --- Canada United States Membership Options Membership Package: * HOME-BASED BUSINESS: $255.00 POSEY COUNTY: $306.00 NONPROFIT: $357.00 PARTNER: $465.00 COLLABORATOR: $770.00 TRENDSETTER: $1,530.00 VISIONARY: $3,570.00 PIVOTAL PARTNER: $10,200.00 SIGNATURE CIRCLE: Please contact us to determine the fee. Payment Option: Bill me Charge my credit or debit card Please scroll down to view the entire policy and then click Accept. Decline I have read and accept the privacy policy of Southwest Indiana Chamber. I grant Southwest Indiana Chamber permission to contact me regarding my account, news, updates, and offers. 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