Port Orford and North Curry County Chamber of Commerce

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Membership Sign-up Form

Join the Port Orford and North Curry Chamber

Please fill out the form completely. Thank you!

Date*
Business Name*
Website
If you are a non-business contributor, check here if you would like your name to remain off of the internet
- check here
Check Your Membership Category*
- Non- Business Contributor $25
- Basic Business $75
- Premium Business $125
*Please enter only one owner and one contact.
Primary Owner Information*
FirstLast
Email
Primary Contact Information ( if different)
FirstLast
Title
Email
Primary Mailing Address*
Street AddressCityStateZip Code
Primary Physical Address
Street AddressCityState / Province / RegionZip / Postal Code
Please use only the main telephone numbers
Main Office Telephone*
Main Fax Telephone
Toll Free Number
Description for website. Please enter it exactly as you would like to see it on the site
Categories: Below are a variety of categories to use to classify you business for searching on the internet. Choose as many categories as you need. Please try to fit your business into the provided categories to help streamline the online search engine. If you are a restaurant or are an organization not listed feel free to provide another category. Thank you for your help
Lodgings
- Bed and Breakfasts
- Camping
- Motels
- RV Parks
- Resorts and Lodges
- Vacation Rentals
Restaurants
- American
- Breakfast
- Dinner
- Lunch
- Pizza
- Seafood
- Other (add below)
Entertainment
- Art Galleries and Studios
- Attractions
- Bars and Pubs
- Casinos
- Live Entertainment
- Lottery
- Theaters
Services
- Advertising
- Art Services
- Assisted Living
- Audio Products Design
- Banks and Financial Institutions
- Bookkeeping and Accounting
- Churches and Clergy Services
- Computer and Internet
- Contruction
- Contractors
- Event Planners
- Health Care
- Libraries
- Newspapers
- Package Services
- Realty and Housing
- Schools
- Storage Facilities
- Utilities
- Writing and Publishing
Organizations
- Civic Groups
- Other (add below)
Shops
- Art Supplies
- Coffee Shops and Supply
- Computer Supplies
- Crafts
- Garden Supplies
- Grocery Stores
- Hardware Supplies
- Maps and Charts
- Movie Rentals
- Myrtlewood Shops and Supply
Other Category (type in your category below)
For use only if your business does not fit into any of the categories above.
You may upload a photo of your site, or a logo.
Please upload a web sized photo or graphic logo (no more than 1 MG) in one of the following formats, jpg, gif, png, pdf. You may also email one later.
Captcha

Captcha is an anti-spam measure to make sure only real people fill out the form. Thanks!

Area photos contributed by Don Stuart
and JT Dataworks

Port Orford & North Curry Chamber of Commerce P.O. Box 637
Port Orford, OR 97465541-332-8055
Email Chamber@portorfordchamber.com

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© 2012Port Orford and North Curry County Chamber of Commerce • website services by JT Dataworks