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Member Application

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website

Email

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1

Address line 2

Country

City

State

State *

Please add your State.

State

Postal Code

Step 2:

Additional Info

Business Description (200 char max) *

Please add your company description.

Business Keywords * (enter a space between words)

Please add your business keywords.

Directory Category *

Please select a directory category.

Full-time Employees *

Please add your number of full-time employees.

Part-time Employees *

Please add your number of part-time employees.

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1

Address line 2

Country

City

State

State *

Please add your State.

State

Postal Code

Create Account

This Login is already in use

Login *

Please add your login username.

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name

Last Name

Phone

Cell Phone

Fax

Email

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1

Address line 2

Country

City

State

State *

Please add your State.

State

Postal Code

Create Account

This Login is already in use

Login

Password

Step 5:

Comments/Questions *

Please enter a few comments.

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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Berkeley Chamber of Commerce

Call: 843-761-8238

Mailing Address:
P.O. Box 968
Moncks Corner, SC 29461

Physical Address:
1004 Old Highway 52
Moncks Corner, SC 29461

Email Us

info@berkeleysc.org

Your Name *

Business Name

Phone *

E-Mail *

Message *

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