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Greater Tampa Chamber of Commerce
Membership Information
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Membership Information

Membership Application
* indicates required field

Information in this section will be listed on our website and entered in our membership database.

* Company Name:
Marketing Name:
(as it should appear on printed materials)
* Number of Full-Time Employees:
* Street Address:
* City:
* State:
* Zip:
* Phone:
Fax:
Website URL:
* Business Description:
Are you a minority-owned or woman-owned business? Yes No
If yes, are you certified? Yes No



A company's Main Contact receives all print and electronic communications including invoices.

The Secondary Contact receives print and electronic communications, while Additional Contacts will only receive electronic communications.

* Main Contact:
Mr. Mrs. Ms. Dr. Other
Title:
Email:
* Phone:
Fax:


Secondary Contact:
Mr. Mrs. Ms. Dr. Other
Title:
Email:
Phone:
Fax:


Additional Contact:
Mr. Mrs. Ms. Dr. Other
Title:
Email:
Phone:
Fax:


Additional Contact:
Mr. Mrs. Ms. Dr. Other
Title:
Email:
Phone:
Fax:



This section is for companies that have a different mailing and/or billing address than the physical location listed on the previous page.

Mailing Address:
City:
State:
Zip:
Billing Contact:
Billing Address:
City:
State:
Zip:




Application Fee $25


* Please Select one of the membership plans below:
FIT One Membership » learn more $450
FIT Two Membership » learn more $750
FIT Three Membership » learn more $1,800
FIT Four Membership » learn more $3,500
Partner » learn more $15,000


Total = $25 application fee + $




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* Name on Card:
* Credit Card Number:
* Credit Card Billing Address:
* Expiration Date:


Our mission is to serve our members and enhance our community by building business success.
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