Fairfield County Chamber of Commerce Member To Member Discount Program
Merchant Registration Form. To participate in the Member To Member Discount Program, please fill out the form below.

Name of Business:
Address:
City:
Telephone:
Email Address:
Item or Service to Receive Discount

Want to join the Fairfield County Chamber of Commerce?
Fill out the form below to start the process. The Fairfield County Chamber of Commerce offers tremendous benefits, networking opportunities, and the opportunity to have your business participate in many of the exciting events that Fairfield County has to offer.

Business Name or Individual Name:
Address:
City, State, Zip:
Phone Number:
Email Address:
Website Address:
Name of Owner or CEO:
Type of Business:
Would you like a link on the Chamber Web Site?
Catagory 1 Membership (Industries, Manufacturing, Merchants):
1-2 Employees ($99)
3 to 5 Employees ($150)
Up to 50 Employees ($200)
Up to 100 Employees ($350)
Up to 500 Employees ($600)
Up to 999 Employees ($800)
Over 1000 Employees ($1000)
Category 2 Professional (Attorneys, CPAs, Veterinarians, Real Estate Agents, Engineers, Dentists, Doctors) $150
Category 3 Government and Eleemosynary (Churches, Governmental Organizations, Service Clubs, Non-Profit Organizations) $125
Category 4 (Individual or Retiree) $40 per person or $60 per couple
Please select any committee(s) that you are willing to serve on:
Board of Directors
Economic Development
Tourism
Membership Development
Programs
Education and Training Resources
Special Events and Fund Raising
Rock Around the Clock Festival
Annual Banquet

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