Membership application for the Greater Bluffton | Hilton Head Chamber of Commerce.

1. MEMBERSHIP APPLICATION
Date: License #:
Name of Business:
Mailing Address: State: Zip Code:
Physical Address: State: Zip Code:
Phone: Fax:
Email: Website:
Primary Contact: Title:
Phone: Email:
Additional Contacts: Title:
Phone: Email:
Main Business Category (Please see attached list / additional listing for $25 each / non-profit: requires proof of 501(c)(3) status):
❑ give theand in all of the chamber’s printed material permissionmedia promotions. and contact information on the chamber’s
I Greater Bluffton Chamber of Commerce to list my business
website and social
❑ do not in any of Greater Bluffton Chamber of Commerce permission to list my business and contact information on the chamber’s
I give the
website the chamber’s printed materials and social media promotions.
Please provide a brief description regarding your business and the services you offer:
Referred By:
Annual Dues:
Discover the face of Bluffton. | GreaterBlufftonChamberofCommerce.org
Method of Payment:
❑ Cash ❑ Check ❑ Visa ❑ Master Card ❑ AMEX ❑ Discover Invoice #:
Credit Card #: Exp: CSC:
Cardholder’s Name: Signature:
Billing Address:
I authorize the Greater Bluffton Chamber of Commerce to bill my credit card ❑ monthly ❑ quarterly ❑ yearly
in the amount of $