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) Secondary Contact: Secondary Email: Brief Description (50 char max): Longer Description (500 characters maximum): Type of Business/Organization: Select OneOwner/Sole Proprietor (One Personal Business)Business/Professional Association, 2 – 5 employeesBusiness/Professional Association, 6 – 20 employeesBusiness/Professional Association, 21 – 50 employeesManufacturer/Utility/Large Corporation, 51 or more employeesBank/Credit UnionTown/School/Small Non-Profit (annual budget under $250,000)Large Non-Profit (annual budget over $250,000)Friend of the Chamber Would you like 2nd business listing? (same business, different address)? Yes No Do you give a discount to other Chamber members? Yes No Do you give a discount to Seniors? Yes No You may print a copy of the completed form to mail with your membership dues OR click on the SUBMIT button below. Please mail your dues to Souhegan Valley Chamber of Commerce, 69 Route 101A, Amherst, NH 03031 or telephone 673-4360 to pay by credit card. Your membership will not be processed until payment is received.