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)
Business Name *
Doing Business As
Full Time Employees: *  
Business Category *
Enter your Street Address
Street Address 1 *
Street Address 2
City *
State *
Zip *
Mailing Address: (Complete only if different from street address)
Mailing Address 1
Mailing Address 2
Phone *
Phone 2
General E-mail Address *
Website Address
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. The Secondary Contact(s) will also receive print and electronic communication. Additional contacts will only receive electronic communications. To add additional contacts, please contact Tracy Wilson at

Salutation *
First Name *
Middle Initial
Last Name *
Preferred Name
Web Username *
Web Password *
E-mail Address *

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

Additional Contacts
Billing Address (if different)
Additional Information
Who at the Chamber assisted you?
Sales Rep *
Please indicate if your business is certified as one of the following.
Minority Owned
Woman Owned
Veteran Owned
How did you hear about us?
What is your reason for joining?
Please have someone contact me regarding
*Check all that apply
Business Resources
Community Involvement
Cost Savings Programs
(Insurance, Office Supplies, Worker's Compensation)
Economic Development
Government Relations
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 Membership ($50):
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 Cost
Additional Categories Cost
Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
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.