Membership Application - Greater Tampa Chamber of Commerce

 

Please fill out the following form completely if you are a new member. Current and Renewing Members DO NOT Use This Form.

* Indicates the field is required.

   
Business Information (to be displayed online)
Company Name for Directory *
Legal Name (not displayed)
Full-Time Employees Tampa Bay (approx.) *  
Company-Wide Full-Time Employees (approx.) *
Enter your Physical Address
Physical Address 1 *
Physical Address 2
City *
State *
Zip *
Mailing Address: (Complete only if different from Physical Address)
Mailing Address 1
Mailing Address 2
City
State
Zip
Main Phone
General E-mail Address (i.e.: info@xyzcompany.com)
Website Address
Business Category/Listing *
Main Contact - Create Your Username and Password Below

This will enable you to take advantage of member benefits and register for events online.

A company's Main Contact will receive all print and electronic communications in addition to invoices. Additional contacts will only receive electronic communications. To add additional contacts, please enter below or contact Membership@tampachamber.com

Salutation *
First Name *
Middle Initial
Last Name *
Annotation
Preferred Name
Title
Create Web Username *
Create Web Password *
E-mail Address *
Direct Phone *

I understand that by providing my mailing address, email address and telephone number, I consent to receive communications sent by or on behalf of Greater Tampa Chamber of Commerce via regular mail, email, or telephone.

Additional Contacts
Billing Contact
Salutation
First Name
Last Name
Annotation
Title
Email
Direct Phone
Preferred First Name
Additional Information
Who at the Chamber assisted you?
Sales Rep *
Please indicate if your business is certified as one of the following.
Black Owned
Hispanic Owned
Veteran Owned
Woman Owned
Other
Membership Investment
Membership Type: *
Additional Directory Categories
  • Primary Directory listing is complimentary
  • Up to two additional Directory listings are complimentary
  • After two, additional Directory listings are $35 each
**Hold CTRL on your keyboard to select multiple categories**
Number of Part Time Employees:  
Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
Millions in Assets (Financial Institutions):  
Enhanced Listing ($120):
Click here to see an example
Promo Code  
   
$ 
$ 
$ 
Total: $ 
*
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
Assets
Assets Cost
AdditionalCategories
Additional Categories Cost
NumberOfAdditionalCategories
additionalItem1Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
tempValueForDropDown1
Credit Card Information
Credit Card Type *
Credit Card Number * 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Credit Card Email Address
Please click submit only one time.  The transaction may take several seconds.