Member

Welcome and thank you for your interest in joining the Floral Park Chamber of Commerce. Once we review your application, someone from the Chamber will contact you with more information.

Business Information

Company Name: *

Leave Blank:

Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category:

Employees:

Full-time Part-time

Comments / Questions:

Referred / Sponsored By:: *

Physical Address

Line 1: *

Line 2:

City: *

State: *

Postal Code: *

Country: *

Mailing Address

Same as physical address

Line 1:

Line 2:

City:

State:

Postal Code:

Country:

Social Networking:

LinkedIn Facebook Twitter YouTube Pinterest Instagram

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone: *

Cell Phone:

Email: *

Contact Preference:

Email Phone

Password: *

Social Networking:

LinkedIn Facebook Twitter YouTube Pinterest Instagram

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name:

Last Name:

Title:

Phone:

Cell Phone:

Email:

Contact Preference:

Email Phone

Password:

Social Networking:

LinkedIn Facebook Twitter YouTube Pinterest Instagram

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Additional Reps (Realtors): $95.00
Small Business Member: $195.00
Businesses with one (1) representative New Small Business Members joining Mid Year between June 1st and August 31st: $97.50
New business members joining between June 1st and August 31st will pay 1/2 price the annual dues, which entitles them membership for the current year ONLY. Full Platinum Business: $270.00
Platinum Listing on the FPCC Website Two (2) dedicated email blasts per year Logo scrolling on the FPCC Website Mid Year New Platinum Business joining between June 1st and August 31st: $135.00
Mid Year New Platinum Business joining between June 1st and August 31st will pay 1/2 price the annual dues, which entitles them membership for the current year ONLY. Platinum Listing on the FPCC Website Two (2) dedicated email blasts per year Logo scrolling on the FPCC Website Individual Member: $95.00
This category is reserved for individuals not in business Not-For-Profit Organization: $95.00
For Not-for-Profit Organizations with one (1) representative

Payment Option:

Bill me Charge my credit or debit card

Print Application

Member Application

Mailing Address

Address

Address