Member

Step 1:

Member Info

Company Name *

Please add your company name.

Phone *

Please add your company phone number.

Website *

Please add your company website.

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

Colebrook *

Please add your Colebrook.

New Hampshire *

Please add your New Hampshire.

03576 *

Please add your 03576.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

Colebrook *

Please add your Colebrook.

New Hampshire *

Please add your New Hampshire.

03576 *

Please add your 03576.

Social Network Addresses

Facebook

Twitter

Instagram

YouTube

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Directory Category *

Please select a directory category.

Full-time Employees

Part-time Employees

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Email *

Please add a valid email.

Contact Preference

Phone

Create Account

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Individual Membership $ 50

The same basic membership benefits as every level. Additional services may be purchased for and additional fee.

Business Basic $100

Introductory business level will get you listed on our online directory and discounted membership at events.

Business Deluxe $500

All of the other benefits, plus priority choice of advertising as available, two tickets to the Annual Dinner, and a Business Basic membership for a partner company.

Business Standard Membership $250

The standard business package will allow you full access to the benefits of membership, including all the features of Basic Membership plus unique opportunities such as using our office window space to display your business.

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

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Back Next Submit Application Print Application

Member Application

Step 1:

Member Info

Physical Address

Mailing Address

Social Network Addresses

Step 2:

Additional Info

Step 3:

Primary Contact

Create Account

Step 4:

Billing Contact

Create Account

Step 5:

Membership Package

Payment Option

Serving Northern Coos County, NH and Northeastern Essex County, VT