Membership Application

Please fill out the information below to begin the process of membership in the Souhegan Valley Chamber of Commerce. Descriptions of membership levels and dues can be found here.

 Date:
 Referred By:
 Business/Organization:
 Street Address:
 Mailing Address:
 City / State / Zip:
 Business Phone:
 FAX:
 Web Site Address
 Primary Contact:
 Primary Contact Email:
(Secondary Contact Person Will Receive a
Copy of Mailings and Email Communications)
 Secondary Contact:
 Secondary Email:
Type of Business/Organization:
Brief Business Description (50 char max):
 Longer Description for Website (500 characters maximum):
Would you like 2nd business listing?
(same business, different address)?
Yes     No
I am interested in joining the SVCC Referral Group (meets Tuesdays, 7 AM year round) if a seat in my industry is open or I would like to join the Chamber Connections rotating referral group (meets 16 weeks only). Additional fees apply.
Morning Referral Group
Connections Group
Do you give a discount to other Chamber members? Yes     No
Brief Description of Discount
(50 char max):
Do you give a discount to Seniors? Yes     No
Click the SUBMIT button below to go onto the payment form. Your membership will not be processed until payment is received.

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