Business Name *

Business Category * Select OneAntiques – VintageArt Galleries – MuseumsArts – Crafts – GiftsAutomobile Services – PartsBanks – FinancialBooksBusiness ResourcesChurches – Spiritual CentersClothing – Shoes – AccessoriesCoffee – BakeriesCommunity ResourcesDrinkEatEvent Spaces – ManagementFitness – Gyms – DanceFlowers – PlantsGraphic Design – Web – PrintGroceriesHardware & SuppliesHealth – WellnessHome – FurnishingsHome Build – RepairHome Service – CleaningHotel – Places to StayIndustrial – MarineLegal – InsuranceLiveMarinasMarineMediaMember CouponMiscellaneousMusicNon-ProfitOtherParkingPetsPlayPrint – Copy – ShipPublic Relations – MarketingPubs – Beer – Wine – SpiritsReal Estate – ManagementRental LivingRental space – StorageRestaurantsSalons – Spas – TattoosSchools – EducationShopSpecialty – CateringSports – BicyclesStayTechnical – IT – ComputerTheaters – Performing ArtsTours & EntertainmentWorkZoo

Billing Address *

City *

State/Province *

Zip/Postal Code *

Country *

Email *

Phone Number *

Use this billing address as my business address.

How did you hear about us?

First Name *

Last Name *

User Name *

Password *

Membership Level *Premier – Center of the Universe: $3000Premier – Cosmos: $1250Premier – Milky Way: $600Solar System: $300Shining Star: $160Friend: $50Media Member: $0Non Member: $

Processing Fee

Optional Donation
Upgrade to help the Arts (or opt out):

Total Due:

Automatic Renewal:  Yes, automatically renew my membership annually.
 No, I prefer to receive an invoice annually.

Payment Method:  PayPal
 Check

Payments may be made by PayPal, debit, or credit card via the PayPal portal (no PayPal account required) or by check. (Make checks payable to Fremont Chamber of Commerce.)